@speed7484, my urologist just told me he's retiring next month, and I gigged him about quitting while he was at the top of his game (having done well on me). One point he established with me three years ago -- he said PSA tests are of little help except in cases where the PSA runs up rapidly and unexpectedly into large numbers. PSA readings in the single digits are meaningless, he told me. So we quit using the PSA test and focused instead on other indicators of inflammation and cancer. About three years before that, he had removed excess prostate tissue, located a tumor behind it but on the lining of my bladder, removed the tumor and a dozen others that showed up on my bladder lining over the next three months, gave me 6 BCG solution treatments that have kept my bladder cancer-free for the last 5 years, and periodically checked my bladder with a cystoscope. We reached an understanding that, if cancer appeared in my prostate, we would deal it with "watchful waiting," as mentioned by @johnwburns. I will be sad if that watchful urologist is not on call if I ever find that I need him in the future.

PSA in the single digits, jump from 3 to 7, is how they found my prostate cancer. Its true that rise and doubling time are important but it doesn't have to be into large numbers. This I am sure of.

@predictable has raised a good point in the context of what may be a slow growing gleason 6 cancer. You have time to evaluate your choice of therapy. The rule of thumb, 9 years ago at least when I was diagnosed, is that they want you to have treatment no longer than 3 months after diagnosis. You'll need to ask your doctor about that. The very tough thing about prostate cancer is that it is so variable. It can range from indolent to very aggressive and, it can change its nature over time. Picking a therapy can be very stressful because the doctors put the choice in the patient's hands. Studies have been done showing just how stressful a process choosing a therapy can be. If you are treated you will very likely have some side effects, its just the nature of what and where they are working on. The most important factor in avoiding side effects is in going with the best clinician that you can find. I had a great surgeon at Duke and a very skillful radiation oncologist at Mayo AZ so I have minimal urinary side effects. I had robotic surgery. Proton beam may very well be a good option for a cancer confined to the capsule but nothing is 100% risk free so adjust your expectations accordingly. Your options for proton beam therapy if you are in Las Vegas and can't travel much are Loma Linda University Medical Center in Southern CA or Mayo AZ. There must be some very good doctors for non-proton therapies in or near Las Vegas. Good luck.

You could also take a look at HIFU and FLA. I was about like you diagnosed 6 years ago and chose FLA followed by lupron