Welcome to our corner of the world. Sorry you need to be here but it's a great place to get answers and support.
I am not sure you got the Gleason scores right - normally we'd expect two numbers below 5 to make up the number between 6 and 10. i.e. a 9 would either be a 4+5 or a 5+4 for a total of 9. You go by the highest number of the most aggressive core sample, if the numbers you have are the total Gleason you'd be a 9.
In your case a 9 would indicate an aggressive PC justifying an aggressive treatment. Our HT folks will weigh in soon about
the side effects of the meds. You should do a bit more thinking about
the orchiectomy and have a good talk with your doctor. You have a low PSA which suggest that even though it's aggressive, it might be contained and full treatable by radiation.
At this point you're still dealing with the news and it takes awhile to get over that emotional shock. Consider your options carefully. In addition to seeing your Uro, you should also see a good radiation oncologist and possible an oncologist that specializes in PC.
You're insurance is a concern, of course, but there are plenty of options for treatment even with medicare. Don't know where you live but where I am we have plenty of good doctors that deal with PC and take medicare.
Hang in there,
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 latest blog post