Thanks Sir . I have talked to some Operation guys that have had 0.008 ( bottom of readings and unreadable) for years and years , but most have a trace after surgery , you are right . A year ago, I elected to have the external beam radiation, 22 sessions, and I really didn't get any reaction until about the seventh month level. Then it started to go down from 0.14, 0.072, 0.056. Now, in 2 1/2 weeks I'll get another one. Battle is keeping my head straight and not getting too much anxiety. I'm going for a sauna this morning here on Vancouver Island, and talking with the boys up there at the Aquatic Center, and then some yardwork and then, I have a hike planned with my wife at 4 PM with the dogs for about 3 1/2 hours. Keeping busy helps. The exercise is great and the fresh air. While I was getting the 22 sessions of radiation, I would walk for 8 to 10 km each day. Yes I was tired, but it kept my mind active and I went through a ton of neighbourhoods and areas in Victoria area. Yes, you have time and I think because you are a 3+4 I think you said, you have plenty of options. Depending on the type of four cell, I don't think you have too much to worry about. You said you were Group 2-7 ? With a PSA of 3+4 = 7 . I understand the PSA , But the Group 2-7 we dont use too much in Canada - what is the groupings all about ? From my Prostate support group, the vast majority of patients with 3+4 Gleeson have responded very well to the operation and the radiation. I think the trick here is catching it early when your PSA velocity starts to rise. God Bless Sir . James on Vancouver Island .

Yes thousands patients with Gleason 3 + 4 = 7 are on active surveillance and many for years.
5 Years + +
Consult on your case with your Urologist .