I got my diagnosis March ‘22. 3+4’s and 4+3’s, PSA 19.8. PSMA showed it was confined to the gland. Talked with surgeon and radiologist oncologist. Did tons of research on MayoClinic.org, ClevelandClinic.org and similar, reputable sites, kept all articles in one notebook that was carried to ALL appointments. I knew already that radiation after surgery is a viable option but surgery after radiation is less possible. Also read Dr Patrick Walsh’s book on Surviving Prostate Cancer, very informative and helpful. At least read the highlights beginning every chapter, then read/skip the chapter. I reviewed my notebook with my Urologist (He was thoughtful enough to give me last appointment of the day - we stayed very late) and said I wanted the surgery. He said that with my numbers he would have made the same decision - that gave me relief. I did about two months of Kegel PT with someone specifically trained in PT for PCancer patients and two months after the surgery. ZERO INCONTINENCE. The pathology report indicated a cancer type that would have survived radiation.

You indicated Gleason 8; it’s usually reported as 5+3, or 3+5, which are completely different, and not just 8. The first number, I think, is the aggressive factor. What are your individual numbers?

I wish you all the best and hope you beat this nasty thing.