@curlyo
Your doctors are probably waiting on your test results to give you treatment options.
You stated cancer was still in prostate. This is really a hard thing to determine without the test results you mentioned. If outside of prostate or just confined to prostate makes a big difference. I had a bone scan, PSMA, and a Decipher test done before final treatment plans were agreed on. My decipher tests like yours was 7s.
With your Gleason score I will mention a test called Decipher test to you. Talk to your doctors about having it done in addition to your other tests. It gives a more precise diagnosis of whether your cancer is low risk, intermediate or high risk.
I know it is hard to wait but right now but those test are needed and are quite common for urologist or R/O to order. Most prostate cancers are slow growing and respond well to radiation treatments and hormone treatments. RP (surgery) is an option but comes with a lot of additional side affects that radiation only would not have. That is why really do some research on your own and then make a list of questions for your urologist and or R/O.
One poster mentioned doing this research also. You can go on web sites for Mayo Clinic, Cleveland Clinic, John Hoptkins, WEBMD, and research prostate cancer and treatments. Really look at the pros and cons of each. Hormone treatments also come with pros and cons. It is why I mentioned Decipher test to you as has an influence on wether hormone treatments are recommended. This will give you a good basis to be able to asked questions.
Just remember this is your body and your cancer and what another person does may not be best for you both physically and mentally. You are 70 years of age with a lot of life left. Know that prostate cancer in men is very common. Over the last years the ability to treat it has become excellent. With that try to think of the glass half full not half empty.
There are many outstanding medical facilities that will sent you pamphlets and information packets. One such is UFHPTI. It does proton radiation since 2006. It will send you a FREE information packet (FED EX) with tons of research, information on photon and proton radiation, two books on prostate cancer (one is the Walsh book). There is no pressure to go to them at all. I found their information packet very helpful.
But I also did a lot of research on my own. I also had an outstanding PCP who did a ton on research himself so he could a knowledgeable medical doctor and be able to suggest and recommend prostate cancer treatments, etc.
Good luck and good luck on your test.
Thanks for sharing the info on UFHPTI! I've been under surveillance with a local urologist since 2021 after a PSA of 7.1 and Gleason 6 (3+3) and my PSA has been between 3.2 to 4.6 during this timeframe. I recently switched to the local VA Urology department and my first PSA was 9.1. MRI scheduled for June 4 and may need to make a treatment decision.