I would get a bone scan and like Tall Allen stated, I would attempt to get a NaF18 PET scan. This is a more sensitive bone scan. It is available at many facilities, but you will need to check around in your area. They are generally approved by insurance (at least in the US). If you need more information about
this particular scan, let me know. At minimum, I would get a traditional bone scan and perhaps a CT scan.
This probably won't make any difference in your decision about surgery, but it could change any treatment that may be necessary after surgery. For example, if they identify a small spot in your pelvic bone...perhaps with adj. radiation they could zap that spot as well..
As a rule, most of the time, bone mets will not show with a PSA less than 20...but as you can see in this thread, there are exceptions to the rule...
btw -- Welcome to Healing Well..stay with us throughout your surgery...we are all here to help support you and provide any information you may need...
11/09 Dx at Age 44 ----------- 4.03
12/09 DaVinci Surgery,t3b,g9 <.05
2/10 Adj. Radiation ----------- <.05
3/11 PSA Rise/Scans/Spot ---- .09
on Pelvic Bone
4/11 HT/XGEVA/Spot Radiation -- .06
2012 -- <.015 (ADT3 until October)
2013 -- <.015 (off HT entire year)
3/2014 -- <.015