Have you had genetic testing? Getting prostate cancer, so young is almost always due to genetics, I don’t think they’ve been able to figure out all of the Genetic reasons however. For example, my father died of prostate cancer, and I got it at 62 probably because my mother gave me BRCA2. My brother got it at 76, But he doesn’t have the BRCA2 So he got it much older. Like my father and my brother, I know other people in the same situation one family with three brothers all with prostate cancer and no genetic indicators. Give them 20 or 30 years and they’ll figure it out.

You can get free prostate cancer Genetic testing here

Prostatecancerpromise.org

Don’t check the box that you want your doctor involved or they won’t send the kit until they speak to the doctor. A geneticist will speak to you after the results come to you.

There is no easy answer to what to do with your age. Prostatectomy makes the most sense For a For a longer term solution. active surveillance is even a possibility.

Surgery could leave you with problems with erection unless they were able to spare all the nerves and you got lucky. There are multiple things you can do to resolve ED issues however, and there is an injection you can put in your penis that’ll give you a good erection if nothing else works.

The problem with radiation is that there are side effects that come after 10 or 12 years and you are very young.

There are other treatments, besides radiation and surgery, You might actually be a good candidate with your Low Gleason score. Cyberknife, HIFU , NanoKnife , Cryotherapy and TULSA-PRO are all treatments that work?. A number of people in this forum have had TULSA-PRO and are quite satisfied with the results.

To get more information, you should sign up with Ancan.org and attend their low/intermediate prostate cancer biweekly meetings. They have biweekly two hour online meetings. If you came to a meeting, they would help you right away with options for . The people there have 15 years experience handling prostate cancer treatment. You need some expert advice and they can give that to you. They also have an under 60 group that has people of all ages that have gotten prostate cancer young.