If your urologist feels your cancer has spread beyond the capsule and a positive margin is a high probability, then he is right, some form of radiation treatment might be a better choice..At your age, there are a lot of things to consider before making a treatment decision..I would talk to an expert prostate surgeon and a radiation oncologist and listen to their sales pitch..
Read the books by Patrick Walsh and Gerald Chodak to greatly expand your knowledge base..
Should you choose radiation, look into the combination of seeds and IGRT used in combination. This treatment delivers the highest possible dose safely and therefore delivers the highest 10 year "cure" rate. But at age 42, you need to be looking out further than 10 years so I would listen carefully to what the surgeon has to say...Don't get hung up on the apex issue, surgeons have been dealing with that for a very long time...The Best of luck to you...
PSA age 55: 3.5, DRE normal.
age 58: 4.5
64: 7.5, DRE "Abnormal"
65: 8.5, " normal", biopsy, 12 core, negative...
66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
67 4.5 DRE "normal"
68 7.0 3rd biopsy positive, 4 out of 12, G-6,7, 9
RALP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT. 2-15-'11 PSA 0.0