A little knowledge is a dangerous thing. Right now you seem to have a little knowledge.
You don't give your age, or that of your uncles.
You don't mention your father, if alive, and his condition.
Either way, you are not your uncles.
The fact that your psa jumps up to 4.5 quickly more likely means the increase is NOT due to prostate cancer. Big jumps are more likely to be from inflammation. Some form of prostatitis, even if you don't have apparent systems.
Yes, you already have prostate issues, requiring cathing, but that is quite different than leaking.
Slow down, and get your biopsy. Talk of surgical removal is very premature.
I'm afraid I'm letting this all disturb me quite a lot so this will probably sound random and blathering.
My father died at age 49 from heart disease.
Uncle #1 died of the "quick" kind of prostate cancer. He was still working (I don't know his age) but he was youngish. I would really be guessing but in his early 60s? *I'll have to check that out with one of my cousins. The other uncle's prostate cancer was caught too late for a "cure" but he is holding out with hormone type therapy. He is past retirement and I'm a little more clear on his age. Around 70 years old + or -. Me? I'm 55.
For what its worth my doctor agreed with you on being premature getting spun up about surgery etc before the results of my biopsy came back.
Unfortunately I had my follow up today and was diagnosed with prostate cancer... (sigh)
So today he told me surgery, radiation (or observation) are all choices. Anyone of them being a "good" choice. My take on it is that its kind of a pick your poison type of thing.
On the good side he reports that I'm still on the detected early lower grade stage and have a good chance for a cure (Removal and or radiation) The do nothing with close observation sounded (to me)like an option if I was older or had a shorter expected lifespan. Radiation first sounds like it makes surgery (later) difficult to impossible. Plus with my obstructive issues radiation (Seeds) make it more likely (he said) to make that worse where surgery would "solve" my obstruction problem. He went on about his patients experiences in "leaking" and how this is rather hit or miss as far as getting to the dry stage (how long) and the potential for long term leakage problems and so forth.
I guess its only a side note but the biopsy was really un pleasent. I've learned (again) that the stuff they use to numb you up has little to no effect on me. Once the needles were inside the prostate whatever he used (An injection) worked but getting there was really gawd-awful.
I'm told an MRI and another biopsy are next to see that the diagnosis was correct and not some failure in the lab. MRI? Fine... Taking more cores is not at all what I'm looking forward to. Actually none of this is... But I'm grateful for the caught early part of this.
Just an update. They removed my prostate and found that my cancer was the "bad" kind. Which makes me want to say that sometimes its good to let yourself get spun up. Its very important to advocate for yourself and not let the "remain calm - do nothing" attitude that we often hear is not (in my opinion) the best way to deal with things. I'm not saying you need to light your hair on fire but you do have to advocate for yourself. Learn about your issues, speak up. Continue to speak up if the problem is not solved. 6 months post radical prostectomy and I'm cancer free.
Hoo Hoo! Life is GOOD!
Just curious, but what do you mean by the bad kind.
Was the post surgery pathology a high Gleason number?
Or was the cancer spread into some dangerous areas.
Since your 6 months follow up shows you to be cancer free, I can assume it wasn't outside the area removed by the surgery.
A good outcome.
Now, for a important note. Your father died of heart disease at a very early age. I'm thinking that danger should be your main area of concern going forward. While I don't know about your mother, you could inherit your father's genes which may have contributed to his early death.
How is your cholesterol and by chance do you know what your father's was prior to his death?
Unless you have very low cholesterol... total and LDL, etc, then I'd probably be making some fairly significant changes in my lifestyle... diet, etc.
Again, nice to hear about your successful and "needed" surgery.