Is 76 too old for prostate cancer surgery?

I was a 68 yr male. 1 of 12 samples with 3+3 nothing in the margins and PSA 1.2. I used your exact philosophy. Dr told me it turns to a raisin after radiation. Dr recommended doing nothing since I wasnt having any issues. My testosterone wasnt high but about 500 with no ED issues. I ended up with ED after surgery. 3 years after surgery no sign of cancer. I requested a testosterone check and found it to be 250. I signed a waiver and went on a topical cream. It now runs about 700. That gives me everything I need. Energy, No lack of desire, healthier outlook. Its been 4 1/2 years. I still have only a partial erection. However I dont have a sexual partner. No stimulation.

My friend had surgery at 79. No complications but you will have incontinence. Still better than cancer living within you.

Thanks for sharing. It's been my observation that most men regret having radical prostatectomy and have had a good amount of issues associated with surgery. Incontinence, ED, and many others after years. Sounds like you were one of the few that came out unscathed.

Surgery with a G6, 3+3??
Whoa, very seldom should that happen of at all, unless there are other circumstances like more than half cores etc, and even then there are radiation options.

If a physician recommends prostate removal at age 79, they should be indited, that's criminal. Most Drs won't recommend past 75. And that's pushing it, dependent on Gleason. I just read a comment whereby a man had G6 3+3 and had a radical prostatectomy.

Right that should never happen.

Ran into an old friend yesterday - we were both buying Valentine’s Day candy for our wives.
He told me he was just diagnosed with PCa and had a Gleason 7, “but the bad one”.
I told him that I had that exact diagnosis 6 yrs ago at age 64. My friend is 75 yrs old.
I told him to stay away from surgery and opt for any kind of radiation and ADT because the side effects of those were much less (in my case) than those from surgery.
The 10 yr (probably 15 by now) outcomes for surgery and radiation are basically the same so why risk diapers and other issues when there is a clear choice at hand.
I told him it was just my opinion but he hugged me and told me that I had just confirmed his feelings and he was going to cancel his surgical consult and go to the RO I used at Sloan.

Surgery at 72; Salvage Radiation Treatment at 73; G 9; undetectable uPSA about 1 yr post treatment so far.

1 - I do not regret RP and would choose it again.
2 - I think any man should carefully and fully try to understand RP vs RT for their individual situation, age, physical condition and commorbidities, as well as their recovery history from surgery.

My belief is that many who have had successful treatments, RP or RT, are not proportionally represented on forums such as this one, and understandably.

There are many issues to consider when choosing treatments, and certainly age is one.

I had surgery at 73. I had to pass numerous tests to make sure I was in excellent health. My surgery was confirmed the night before it was scheduled. The surgery went well: I was released to go home and recover the same day. I’m grateful for my smooth recovery and for each day.

I had surgery when I was 2 months shy of 75 and that was 3 years ago for Gleason 9 locally advanced PC. The surgery was easy on me, no pads needed, have ED but then I am now 78. I have not had salvage radiation but that may be in my future. I think that I made the right decision and I think that I was and still am lucky.