I'm 59 and was diagnosed two months ago. PSA of 7.7, two cores positive at low volume (5%) with a gleason of 3 plus 4. I've been doing my due diligence over the last two months with a lot of internet research, meeting with surgeons and radiologists and talking with folks who have gone thru this. Was leaning towards surgery and then leaning towards radiation. Just had a follow up PSA and it has now doubled to 13.9 in four months whereas before it was very slow growing. My urologist wasn't overly concerned other than to say I was no longer a candidate for active surveillance. Rather than taking my time I now feel like I should choose between either
surgery or radiation based on whichever one I can get done first.