Welcome Dwight. Sorry you had to find our little corner of the world though. Others will chime in with their thoughts, especially regarding treatment choices, but I'll just say that I was 18 days shy of my 52nd birthday when I had '
open' (non-robotic) surgery, and at 7 1/2 months out, am doing well. My continence is mostly back and I can get useable erections--which I hope will improve even more--with which pills help, but I can manage without, too.
The reasons I chose that option were several. While I had small volume, compared to you and many others, and all was G6, it was found on both sides of the gland in the biopsy cores, which concerned me a bit, and I wanted to be sure that a G6 was all I had, as it's often upstaged (as mine was) after the pathologist gets a look at it. I also wanted more options if it came back in the future. The thought had been that surgery after radiation isn't an ideal situation, but surgery before any radiation has been the standard. I'm sure others will give you advise and guidance on other treatment options that have become available recently, but I can't comment on those. I wanted to give you a perspective of how surgery resulted, though--at least with me, thus far.
You do have quite a bit of volume in your cores, so it certainly makes sense that you get some type of treatment. Has your doctor mentioned anything abut imaging, like a 3T-mpMRI? It can be useful in determining if everything appears to be contained withing your prostate, as well as the condition of seminal vesicles and surrounding tissue. This is something that can also affect your treatment decision.
One more thing. Where are you located? This helps the good folks make recommendations and /or suggestions that may know of options in your area. You can add your
location to your profile if you'd like.
Best of luck!
51 yoa at Dx--Some family history of PCa
From 9/2013 to 3/2015 PSAs between 4.85 & 6.7, TRUS Bx-neg 12/2013, 12/2014 PCA3:38, 3/2015 switched from local urology group to Johns Hopkins, PSA 5.8/FPSA 17.4/PHI 28.4, 3/2015 mp3T MRI & Fusion-Guided Bx @ JH, 2/14 cores pos, Bilateral, <5% involvement, GL=6, RRP: 8/2015 @ JH (Dr. Carter)
Post surgical pathology – Upstaged to G7 (3+4), confined throughout, Negative margins, lymphnodes (11), and seminal vesicle involvement. Additional findings: HGPIN
PSA 11/2015 <0.1
Post Edited (MDNative) : 3/23/2016 8:29:09 AM (GMT-6)