I too was diagnosed with a Gleason 9. There is no sugar coating it, it is a nasty diagnosis, but, it is not an automatic death sentence either. With a PSA less than 10, you apparently have caught it a little early.
I would recommend a second or third opinion, not so much for e diagnosis, but the treatment plan. If you live close to a major cancer center like Mayo, or Johns Hopkins, etc, I would go there. I definitely would consult a radiation oncologist before I had surgery.
It will be important to determine if the PC has escaped the prostate capsule. A color doppler ultrasound is a very useful test to have, but they are not readily available in many cities. IF it is felt that the PC has escaped, then it may be prudent to advance to radiation and hormone therapy. Surgery is brutal on the side effects, and most likely will not cure the cancer if it has escaped. The radiation has a better reach into the surrounding area.
Above all, take time to learn. Read some books that are listed in the top of this forum, do some research on the Internet, talk to people, learn all you can. The worst thing you can do is rush to a treatment choice. You have time.
Stay with us, ask all the questions you want. Let us know how it is going. We do care.
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic 4/14/09 Nerves spared, but carved up a little.
0/23 lymph nodes involved pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free 6 week PSA <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED. Trimix injection
No pads, 1/1/10, 9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01
Post Edited (goodlife) : 12/30/2010 8:01:28 PM (GMT-7)