Your dad's situation is similar to mine. I too felt like I was hit by a brick when my pathology report came back worse than anyone thought it would. It's part of the pain in this disease. As you can see by my signature, even though my two post surgical PSA's were <.1, they recommended radiation within the first year to improve my percentages on reoccurance. I've continued to be very active, and the Zoladex seems to not have strong side effects. (I do sometimes suddenly feel warm, but nothing like what they say a hot flash should be.) The docs at VM recommended the HT two months prior to radiation - it seems that will weaken any PC cells so the radiation will kill them. I've gone through 11 of 32 radiation treatments and things are going well. I'm continuing my sports officiating; refereed a big high school football game last night and have another game tonight.
My "words of wisdom" are to keep him walking for exercise, and stretch it out more and more especially after the cathedar is removed. The specialists at VM will give you all the options and support your decisions. I've felt good with them. This disease is very treatable; keep your spirits up and fight like....
PSA 4.7 (up from 3.2 one year ago)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology
Stage T3a, Gleason 3+4, positive margins and
capsular penetration RIGHT Side
Post Surgery PSA: March 5: 0.01
5 month PSA, June 13, 2007: 0.08
Adjuvant therapy began June 26 with Zoladex injection
Radiation to commence in late August