Hi Danfl, and welcome to our little corner of the world.
You have come to a good place with immeasurable help and knowledge from those
that have "been there, done that" with respect to being told we have
PCa, learning about the beast, deciding on a treatment path and moving on. Please keep in mind that with your statistics while I also believe you need treatment,
you do have time - time to learn about PCa and the various treatment options - so
Others have already asked about getting a 2nd read on your biopsy slides yet, and I agree that should be one of your next steps.
Labs such as Bostwick and Epstein are two of the best and a 2nd opinion
is usually a good thing to add to your decision making tree.
Along with forums such as this where you can learn from
people that have and are going through what you are, do as much internet
research as you can. When I was at your point in my journey I encountered the
"paralysis by analysis" syndrome as I was spending several hours a
day doing all of the research and reading as much as I could - but that's o.k.
as it will put you in a better place in terms of deciding your choice of
There are a number of great books
out there as well - Dr. Patrick Walsh's "Guide to Surviving Prostate
Cancer" and Strum and Scholz' "Invasion of the Prostate Snatchers"
are two that I found incredibly helpful during that part of my journey.
You will also want to talk to and if possible meet with as
many of the medical experts in the different treatment approaches as you
can. When you do, be sure to ask for
their specific outcomes post treatment - % regression free, continency (and
have them define what "continent" means - to you and I it means NO
issues, while others may qualify that with "only one pad per day" or
"only when straining") - same goes with ED. They all have these statistics and if they
say they don't or are unwilling to share that would be a cause of concern for
At my young age and excellent health, and with no symptoms or issues - while curing the cancer was / is my top priority, at the same time preserving my quality of life ran a very close 2nd. Be aware of this by doing your research and getting these statistics from the practitioners/treatment modalities you may be considering going with. You only get one shot at this - one of the most important decisions we're likely to make in our lives.
As part of my journey to learn about the various treatment
options I downloaded, purchased, and copied a number of studies and results
that I would also be happy to share with you, so again if you are interested
shoot an e-mail my way and I'll reply right away.
We are all out here to help - my very best wishes to you in
56 yrs old, excellent health - DX'd with PCa July '12
9 of 12 Gleason: 3+3 and 3+4 (All neg PNI)
Negative DRE’s / NO / MO / T1C / Gland size 40gm / Vol. 22gm
Volume Study 8/14/12
Casodex 50mg daily 5 wks prior 2 wks post BT
LDR BT 9/21/12 – no issues
3 mo PSA 12/20 0.48!
6 mo PSA 3/14 0.21!
9 mo PSA 6/18/13 0.30!