I am also 56 years old and was diagnosed in the first week of September with an initial PSA of 32. I was never encouraged to get tested, but decided to after a period of time with decreased urine flow. My Gleason's were 9's & 10's, so the Dr. very much expected metastatis (even if he didn't so much as say it out loud). Fortunately, everything was localized. After surgery, it was revealed that roughly 80% of my gland had been transformed to a yellowish tumorous material and that the cancer was tying to migrate. I had robotic prostatectomy on Nov. 9 and I am approaching my 4-week point. Most likely due to the nature of deterioration of the gland and the need to remove all the marginal activity (10 years ago I would've been stage 4). my recovery has been pretty rough. I still can't sit up. I leak when I get off the couch or out of bed. I've also had incredible pain in the unit (just typing it in makes the scro recoil). Dr. has been a wizard and has finally gotten some of the spasms to subside (or at lease decrease in pain intensity (valium and myrbetriq - I refused to take the NORCO - see other comments here about constipation). I take multiple sitz baths every day to alleviate some of the perineal pressure (still jumps to a 8-9 on the pain scale every evening). Needless to say, my experience has been rough. My path report started off with the caveat, "this is a difficult case." I will be meeting up with my wizard (doctor) in the next few weeks to schedule initial radiation. Get used to being wet with a tough case, but follow the rehab recommendations from the Dr. Do the Kegels and be sure to do them correctly. I got frustrated and went whole hog and probably cost my self more pain than gain. After watching a tutorial from an English woman on youtube, I've learned to start slow and work on making progress. Be diligent and be strong and don't hesitate to let it out when it becomes unbearable. If you can do the sttoic approach like my father-in-law did, then more power to you. that was therapeutic. thanks.