Susan, Michael, lots of good advice in this thread. The top bit as far as I'm concerned, is to get a second read of your slides by someone who does a lot of prostate tissue work. The "name" pathologists listed are, of course, excellent, but if you don't use one of them for a second read, then be sure whoever is doing it does lots of prostate readings.
Next, and provided the second read matches the first, you do have time, but there is no get-out-of-jail-free card with PCa. All options have upsides, and downsides and those can and do vary from patient to patient.
At 39 it's not unreasonable if Michael's not a smoker, and doesn't do wild sport stuff, or drink and drive, etc., that he can look forward to 50 plus years of life left. The goal I'd be going for is "cure."
I wish you both well. I'll look forward to future posts and learning what you decide to do.
Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours. Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn --- perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7
First post op PSA Sept 09 less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010 less than 0.02
PSA on April 9, 2010 less than 0.02
PSA on July 9, 2010 (one year) less than 0.02