Thank you for providing the follow up information.
It would appear that you have a right to be concerned about what your next steps should be. I think the best advice you can follow is that of your Dr, assuming there is some real expertise there in regard to the diagnosing and treating prostate related issues including prostate cancer.
There are a lot of men that are choosing the approach of active surveillance (versus ignoring that the problem and hoping it goes away).
Regardless, if you chose not to take a more aggressive treatment like having surgery, you at least may want to choose to fight this in other ways. There are a lot of things that can help to slow the growth of prostate cancer like diet, exercise, supplements, etc.
Just be aware that there are some men that chose to wait too long, sometimes they waited only a year or two longer then they should have. Then, when the do decide to take the more aggressive treatments, the cancer has spread further then they wanted it to.
Also, it is not uncommon for a pathology report after surgery to uncover more cancer then was known before surgery due to the biopsies.
I am an example of post-surgery surprises. Before surgery they had only identified cancer in the upper right quadrant of my prostate. My post prostatectomy pathology report showed that I also had cancer in the lower left apex, which involved that nerve bundle. That would not have been known until the surgery was done. As a result, even though all the margins were found to be negative on my pathology report, because the nerve was involved, the prostate cancer cells lined up along the nerve and escaped the prostate witch would also have not been known until over three years after surgery. Now I am going to go through radiation therapy to kill the reoccurring cancer.
I am wishing you the best, regardless of which road you take in this journey. Be aware that many prostate cancer experts believe that the younger you are when diagnosed, and with a low grade of cancer, you are best served to take an aggressive approach to remove the cancer sooner than later because this provides you with a far greater chance of a long life cancer free.
Good luck and best wishes,
Diagnosis Results – Oct 31, 2007;
•Age – 53 (turned 54 in Nov 2007)
•PSA is 3.83
•Gleason's Grade - 3+3=6, T1C
Surgery Dec 11, 2007;
•Cancer confirmed on Right mid and Left apex
•Both nerve bundles spared, some damage to the Left bundle.
•30 day PSA, .01
•90 day PSA, .00
•Latest PSA, .12
•ED treatments: Levitra, Cialis, Trimix, Erect Aid pump, Penile Implant on 3/12/2009