I am 46 and was just recently diagnosed. My Gleason score is 6 and my PSA was 5.5 at the time of diagnosis and has been as high as 7. I am not going through any treatment as of right now, just doing a lot of research and appointments with various doctors. So far, both my Urologist and the Radiologist I spoke to have recommended surgery. I have two more appointments in March, one to see a Naturopathic Oncology doctor and another Urologist for a 2nd opinion. After that...who knows.