Welcome and I hope we can be of assistance. My stats were similar to yours, but I didn't have evidence of anything in my nodes. Nevertheless, my uro said no surgery as he was sure it woulde not be successful. I have kept him on my team due to his clarity, objectivity, and expertise.
The best things I did were to get a great medical oncologist with strong PCa experience and to read, read, and read some more. You are advanced and, while you need an urologist and radiation oncologist, you really need a strong medical oncologist to direct the chemical aspects of your treatment protocal.
In your reading, add "Beating Prostate Cancer with Hormone Therapy and Diet" by Dr Snuffy Myers. He is a renowned researcher and one of the top prostate cancer oncologists. He has been successfully fighting the disease for more than ten years, starting with a similar situation to yours at about
the same age.
Radiation is probably in your future and here are two very informative sites that will explain the main methods in dealing with this disease in when surgery is not used. For permanent seeds and IMRT see www.prostrcision.com and for High Dose Rate brachytherapy and IMRT see www.cetmc.com.
PS go back to your GP and educate him on the need to tell you what is going on
PSA 59 on 8-26-2010 age 60. Biopsy 9-8-2010 12/12 positive, 20-80% involved, PNI in 3 cores, G 3+3,3+4,and 4+3=G7, T2b.
Eligard and Jalyn started on 10-7-2010. IMRT to prostate and lymph nodes started on 11-8-2010, HDR Brachytherapy December 6 and 13, 2010. PSA <.1 and T 23 on 2-3-2011. PSA <.1 on 4-7-2011. PSA <.1 and T <3 on 7-15-2011. PSA <.1 10-07-2011. PSA <.1 1-3-2012.