I'm new to this site and am looking for feedback on active surveillance vs radiation. I'm 57 years old and via normal checkups had an elevated PSA level that went from 2.6 in June 2017, to 3.2 last fall to 4.9 this past month. Based on the elevated trajectory of my PSA levels, it was recommended I see a urologist which I did. After meeting and discussing the elevation , we agreed a Transrectal Ultrasound and Prostate Biopsy as next steps. The results came back with T1C with 1 of 12 cores being positive and the one positive sample at 5%. My gleason score is 3+3.
My Urologist was very detailed in explaining the options and did not try to nudge me in any one direction. At this juncture the 2 options I'm considering are active surveillance or External Beam Radiation Therapy. Due to the prostate being too large, Brachytherapy is not an option. My initial thought is active surveillance.