Picco, I was a G9, with organ contained disease. Negative margins, neg lymph, and neg sem ves. My psa was ~ 3.00 at the time of surgery. Most oncologists consider G8,9, & 10 to be essentially the same for treatment protocols.
PCa spreads three ways; 1. Via lymph system, 2. Via blood stream (systemic), and 3. By growth outside the capsule. if your guy is in otherwise good physical condition, then surgery should be an option....but that's a call by a good uro. Sounds like you need one.
When my uro gave me the results of my biopsy, he spent over 1 1/2 hours with my wife and I. He answered a ton of questions, and was very reassuring. He did my surgery 7 weeks later, and I was continent within a couple of weeks.
You and your guy are going to be okay. This is absolutely the best forum for guidance and answers to your questions. Particularly from John T, Tony, Fairwind, Goodlife, Sonny and 142. These guys really have a good handle on the best PCa treatments for a given pathology. At least consider their suggestions as you educate yourself. There are many others here who are also knowledgeable.
Age 57 at Dx
5/09 PSA 2.26
6/10 PSA 3.07 FPSA 18% DRE +
Biopsy, 7 of 18+, >60%, 4+5=9
7/21/2010 - RRP
Nodes & Ves neg
tumor contained, still 4+5=9
9/3/10 - 0.04 99% continent
10/14/10, 0.04, and lupron #1, 99.9% continent
Total ED, implant on 12/15/10
2/11 - 0.04, HT #2, 6/11 - 0.04, HT #3, 10/11 - 0.04, Ht #4
4/12 - 0.04, Ht # last, next psa - 10/12