Re: My 2nd Opinion - went from 8 to a 9 :(
I agree with your assessment that either way you had 5s in there. Gleason scores of 8, 9 or 10 are all classified as high risk, so it really doesn't change your options much. It's the Gleason 4s and 5s that can escape the prostate and send out micrometastases into the prostate bed. If that's what is going on, you can't see them on an MRI and surgery won't reach them. With micromets, your PSA can sometimes stay low, because there is not enough cancerous tissue to crank out a whole lot of PSA.
I don't know why an Oncologist would refuse to consult. Perhaps they assume that with a Gleason 9, it isn't likely your Urologist will recommend surgery and you will be referred to a Radiation Oncologist? Have you set up an appointment with a Radiation Oncologist?