I want to echo this advice from retireditguy. Dr. Walsh's book is a must-have for valuable information. I was diagnosed with aggressive Gleason 7 (T1c) at 53 (2.2 PSA) and I'm having surgery next week. My decision was based in part on my age and the increased risk of cancer recurrence in 20 years with radiation, I'm hopeful that I caught mine early enough to remove it all with surgery. But as you surely know, the side effects are scary. Educate yourself and get a few opinions. It sounds like you are on a solid track for success. Good luck!