I hear you, but there are 70 yr olds running marathons for whom surgery is an appropriate first step; and others with multiple co-morbidities whose expected lifespan isn’t long enough to warrant worrying about recurrence…
This is NOT an easy decision to make at any age so please take your time and think it through - pros, cons, etc.
A friend of mine was just diagnosed with Gleason 4+3 but no cribriform or IDC and low decipher score of .2. He’s 75 yrs old, overweight, diabetic, has high blood pressure and non-alcoholic cirrhosis of the liver. He asked me what I would do in his position.
“Anything but surgery, don’t even think about it!” I told him. It seems his urologist was pressing hard for surgery….almost malpractice IMO. He’s now going to Sloan and his new oncologist is leaning toward non- surgical focal therapy. Hope this helps!
Phil