When I was first diagnosed, my PSA had gone from 2 to 4 in 6 weeks. The biopsy revealed 2 cores with a Gleason score of 3+3-6. Had another biopsy scheduled for a year later. In between biopsies, my PSA went all the way down to .85 before it started to no up again.
Second biopsy revealed 3 cores with a Gleason score of 3+4-7, a little more aggressive.
I elected for prostatectomy with the knowledge that there is only 1 door to open regarding treatment. If I elected radiation, they can not remove it as a next option.
It's been a year and a half since surgery. Do I leak some? Yes, but not all the time. It is manageable. On long trips or outings I will keep a pad with me, just in case. I only get partially erect now. Does it bother me? Sometimes.
I look at the bigger picture, I am alive and kicking. I will not let it beat me up in my head. It is what it is.
My uncle died as a result of prostate cancer and it was a miserable death for him.
I have to be secure in my head that I made the right decision and I am.
There is a site called prostrcision that provided me with a wealth of information regarding prostate cancer and treatment options. It helped me come to the conclusion for treatment that I did opt for.
Ultimately the decision is yours as to what treatment you opt for. I suggest reading up on all the treatment options available, ask your surgeon lots of questions especially what is his cure rate. Being cured is a PSA of less than .1 for 10 years.
There is a lot to this. First, wrap your head around it and accept that you have it. You can not fight your mind. Second, read up on all the treatment options and the side effects for each. Everyone is different in the way we heal. Some are luckier than others. Thirdly, keep an absolute positive attitude during this whole period of time. Keep thinking and telling yourself you got this.