Hi, mtm, and welcome to the club none of us wanted to join.
You've gotten a lot of very good advice already. I, too, am new here, and am just a couple of months (yes - months) farther along the path than you. I was told of my diagnosis in early July, and have spent the past two months learning about
this disease and its potential treatments.
I'm a bit older than you are (almost 69 now), and have chosen radiation as my first-line treatment. The others are right - you need to see both a surgeon and a radiation oncologist, as each can only speak fully about
their own specialty. I did a lot of research and have chosen SBRT (stereotactic body radiation therapy), specifically CyberKnife. This is a relatively new (maybe 8-10 years) type of radiation delivery system that has been found to have very high cure rates, similar to surgery and the best of the traditional radiation systems, with less side effects than the other external radiation methods. We will not, as another poster noted, know about
long term side effects that might happen 15-20 years out for another 15-20 years. I'm OK with that, but I was not OK with yet another major surgery for myself. That is something to seriously consider - prostatectomy IS a major surgery. Are you and is your body ready for that?
I agree that typically men in their 50's are advised to consider surgery as first-line treatment, but I work with a man who was 56 when diagnosed and had robotic surgery. When I told him of my choice of CyberKnife, he said that he wished he had been able to choose CK, given what he went through with surgery. He had surgical complications, but is doing fine now 3 years later. His pathology report was too advanced to be accepted at that time for CyberKnife, so surgery it was. These days, CK is approved for even some intermediate risk patients (which is, I believe, what your classification would be, with GS 3+4), so you may actually have a choice available.
The important thing is that you have time to do your research and choose the treatment that you feel is best for you. Medically, with your pathology, any of the standard treatments will "work." Make your decision based upon the side effects of the various options and your ability to live with them over the long haul - and you WILL have a long life to enjoy after treatment.
P.S. I don't want to be "mean" here, but if you were just diagnosed in mid-August, and you have already booked the OR, are you sure you've done all of your due diligence? Admittedly I am a "control freak" but even with all the research I did and consultations I had (one uro surgeon and two radiation oncologists), I just this week made my commitment - and I was diagnosed the first week in July.
Age 68 at Dx
PSA history: 2000-2012 0.9-1.2; 06/2012 started T replacement
2013-2015 3.0-3.3 (new normal)
Biopsy: 12-core biopsy 07/2016; 3 cores G3+3, 5% or less; 1 core 3+4, 15%; 1 core HGPIN; 2% of gland involved. Summary G3+4.
Post Edited (Paxton) : 9/16/2016 6:37:38 AM (GMT-6)