I really believe that your surgeon is giving you good advice. My surgery was originally scheduled to be six months from my biopsy, like your husband's. I consulted widely before my surgery. I spoke to two Urologists here in Alberta, and I travelled to the Mayo Clinic in Florida to have private consults with another Urologist and a Radiation Oncologist. All agreed that surgery was the best option for me and that waiting six months should not be a concern. And remember, my cancer was significantly more aggressive than your husband's. My cancer had extended outside of the capsule of my prostate, it had Cribriform and was Gleason 4+3.

I remember, when I asked the Radiation Oncologist what he would do in my circumstance, he said that he would opt of surgery over radiation because of the adverse side effects of ADT that would be part of the radiation therapy.

I also asked him if he would opt to pay for surgery out of pocket to get it early and he had a humorous response, but he meant it. He said: No, I would use the money to go on a long cruise and would wait for surgery in six months without worrying about it.

In summary, from the information you provided your husbands cancer does not have aggressive characteristics and from my research and consults, I do not think waiting six months for surgery is too long. In your husbands circumstance, I would not consider taking ADT before surgery. The side effects of ADT are supposed to be very unpleasant.

Finally, make sure your husband is getting the Robot Assisted Radical Prostatectomy or RARP surgery.