Let me clarify a few things that I think learned talking with various MD's, Uro, and this forum that helped form my decision.
If there was just a door number one, the decision would be a no-brainer. But in our (you and I) have multiple choices, and if successful, each has about the same outcome, albeit with the "choose your side affect" factor.
If I did nothing, it was pretty much unanimous that I could live for 10 years (to 65) and maybe start developing real problems. There seems to be a consensus that making it 15 years (70), good chance of being sick or planning a funeral. Again this is if I did NOTHING, which is not an option.
Plan B- Surgery, radiation, seeds. From what I have learned, IF I was in my 60's or 70's, radiation might be fine given the total year out come. Radiation for me at 55 could come with a price, well, actually a few. Doing radiation first would make surgery if needed later more difficult. I also have a huge family history of colon cancer, and one of the dangers of radiation is the possibility of curing one cancer only to open up a can of worms with the introduction of a new cancer. In addition, some of the radiation therapies take eight weeks, and are a five day a week thing. Add to that the side effects of the treatment itself. The upside is that I still would have my second favorite organ, cooked medium-rare in spots, and probably be a full functioning sexual being.
Seeds I feel the same about, radiation. Again the main thing is that window of doing surgery AFTER (in the event of a recurrence) closes just a bit more.
Surgery- extreme. Well aware of the ED, incontinence, and so on, but I think I may have a good chance of recovery since I'm in pretty good mental and physical shape now. I could still do radiation if the need arrises when I'm in my 70's, and then if I make it for another 15-20 years....well, I think I'll have had a pretty good life.
Again, these are just my ramblings. Things would be maybe easier to decide if I was 65, 75, 85, or beyond. Some times being younger-ish makes things tough to decide.
Speaking of good life, I've found a new sense of "don't waste time". Do things. Fix the things that are broken, relationships, house, make the things you want to make. I'm very much into art and am trying to paint, draw, video, photograph, whatever. And most of all to let the person or persons who you love, know that you love them. No one can hear that to much. I extend that to my new-ish found family, you on this forum.I real wish you all the good healing in a speedy way.
Thanks for your replies.
Peace and love.
Age: 54- good health, physical anyway. Tinkle alot at night- 4-6x's
DRE 11/08- no lumps, just enlarged prostate
1st PSA, total- 11/08= 6.1
2nd PSA, total- 8/09= 6.6 Referred to Dr. J. Hoeksema @ Rush Univ. Med. Center/Chicago
Needle Biopsy 11/09- 12 samples. 11 OK. Right Lateral Mid- Adenocarcinoma Gleason score 3+3=6 9 involving 5% of specimen. Prescribed Flomax for excessive peeing.
Second opinion 1/21/10 with Dr. Gregory Zagaja, Univ. of Chicago Med. Center
3rd PSA, 2/10= 7.9 Still on Flomax, but thinking of stopping as it's not doing much of anything.
4th PSA, 6/10= 7.3 No longer on Flomax due to weird side effects