Welcome to our corner of the world, sorry you need to be talking to us but it's a good place to be.
Take a deep breath - it's scary stuff but you've got time to make an informed decision. PC is generally slow growing so you've got a few weeks (possibly a few months) to decide but don't wait for too long. What you need right now is more information. You might want to start with Dr. Walsh's book, "Surviving Prostate Cancer" it's a good starter book. Others will post some good informative websites for you. I also just re-read Dr. John McHugh's book, "The Decision" which I also like. Now is the time to educate yourself on all the options.
Some other questions that might help us answer your question are: Did you doc tell you the clinic stage? (t1 or t2) What was the result of your DRE? How old are you?
The general thinking says you've got three basic choices: Surgery, radiation (beam and seed implants) and active surveillance (aka watchful waiting). To decide between them you should talk to a couple of doctors, a urologist and a radiation oncologist. Get a couple opinions.
There are a few folks around here doing AS (I have a brother doing that now) so they can tell you more. The key with "active surveillance" is the 'active' part. You can't just ignore it but rather monitor it and have decision points already set. You should be followed by a good URO and have regular PSA tests (even free PSA and PCA3 might be in the picture) - likely once every six months. Then you should have a trigger point in mind, like if the PSA goes over 8 (or how fast the PSA doubles is also a good measure). The problem is to delay treatment for as long as possible to avoid side effects but start treatment before the PC escapes the prostate. Once PC metathesizes their is little hope for a cure but there are plenty of palliative treatments that will keep you going for years.
You didn't mention your age - that factors in too. The younger you are the more likely you are to want to be treated. The older you are the chances of dying of something else are higher and the need to treat PC is lower.
I hope you've talked about
this with your bride to be - it will be a big set of decisions. If you decide on treatment, things like seeds can be done in a day and may guys only miss a day or two of work. I did IGRT (beam radiation) and only missed a couple of days of work. Surgery has the longest recover period - likely you'd need a week or two off (depending on your current health).
Well, sorry for the brain dump but it's late and I can't sleep tonight.
Keep us updated on your progress and ask any other questions you might have.
All the best,
I'll be in the shop.
PSA 4.2 10/11, 1.9 6/12, 1.2 12/12
2 out of 14 cores positive
Treatment IGRT - 2/2012My PC blog