Active Surveillance proves better for low-risk prostate cancer

Thanks for picking up the thread again. I'm almost 72, 4 years AS, gleason 6, Decipher low intermediate, PSA low to mid 4s. Seems an annual MRI and 6 month PSA is consensus protocol, but all interested please speak up. Balancing act to buy time for new technology while ascertaining the risk. Active lifestyle, feeling great, no symptoms---all makes the decision to "break something that doesn't seem to be broken" difficult. As an aside, I've had 3 mild bouts of what seems to be low grade prostatitis over the past year and half which spikes PSA--so far antibiotics bring it back down but adds to the dilemma.

I started with AS two years ago, but wound up starting treatment last fall after a couple of upticks in my PSA and another biopsy raised concerns.

When we were planning on AS, my urologist was talking annual MRIs, PSA tests every six months, and a biopsy (whether MRI or PSA raised a red flag or not) every two or three years.

Thanks for picking up the thread again. I'm almost 72, 4 years AS, gleason 6, Decipher low intermediate, PSA low to mid 4s. Seems an annual MRI and 6 month PSA is consensus protocol, but all interested please speak up. Balancing act to buy time for new technology while ascertaining the risk. Active lifestyle, feeling great, no symptoms---all makes the decision to "break something that doesn't seem to be broken" difficult. As an aside, I've had 3 mild bouts of what seems to be low grade prostatitis over the past year and half which spikes PSA--so far antibiotics bring it back down but adds to the dilemma.