Welcome ShinytopPC and sorry about
your Dx. That is one whopper of a prostate! It seems to be interfering with your urination, which is why your Uro is recommending a TURP. A TURP now does complicate some of your treatment options later. Nerve-sparing surgery may be more difficult, and seeds will be impossible. But that still leaves you with SBRT, HDR brachytherapy, IMRT or proton.
There is a long-running thread on this site about
the "Gat Goren method," that you may be interested to learn about
(put it in the search bar). Laser TURP is increasingly popular over surgical TURP.
I have little to add over JNF's excellent response, other that Proscar has been known to shrink tumors in men who are on AS. As it shrinks your prostate, it will improve the diagnostic ability of the PSA test and make any cancer easier to find.
Allen - not an MD
•PSA=7.3, prostate volume=55cc, 8/17 cores G6 5-35% involvement
•SBRT 6 year results
treated 10/2010 at age 57 at UCLA
•PSA since treatment:
1/11:3.9 5/11:3.0 8/11:3.7 5/12:1.2 9/12:1.3 5/13:0.4
• SEs of treatment:
after 2 wks: mild urinary & rectal - last 1 wk
1 yr after: mild urinary - last 2 months