Following my robotic radical prostatectomy just before Christmas 2010, and the follow up with the surgeon last week, I received a copy of the letter sent to my GP. It appears that the Gleason 3+4 found on the initial biopsy was downgraded to 3+3 when the removed prostate was examined, although it was also restaged to pT2c, which means that it was found in both sides, whereas on diagnosis it was positive on the right side only. The other good news is that it was organ confined, the surgical margins were clear and my PSA was <0.1. I am making a good recovery from the surgery and will be returning to work in a few weeks. I suffer from minor stress incontinence which is improving every day, but I'm still waiting for my little soldier to stand to attention. I was 57 last month.
Plugging my results into the various on-line calculators available, it appears that I have around 95% probability of being cancer free in 10 years time - which is a huge relief after a worrying time. Even so, I hesitate to use the word "Cured" as I don't wish to tempt fate! It appears that the difference between the various T1 and T2 stages doesn't appear to have any significant effect on post surgery relapse, although the difference between Gleason 3+3 and 3+4 has a minor effect.
I must emphasise that I wouldn't have known about having Prostate Cancer if I had not asked for PSA blood test! My slowly rising PSA was monitored for several years, and eventually triggered a biopsy. This monitoring meant that my cancer was caught while still at an early stage.
Early prostate cancer usually has no symptoms so for most men it can only be found via a PSA blood test. I heartily recommend EVERY man over 50 to ask his doctor for this test. It could save your life; it has probably saved mine. The surgery is not as bad as you might think, and the side-effects are tolerable.