My best advice is not to panic over your recent turn of events - you will be fine. Take your time assessing the various treatment options and talk to as many people as possible, then make the decision that's right for you considering your personal circumstances. I've discovered that almost everyone's situation, lifestyle, marital status, etc. are different, and that there's no single treatment option that's best for all, even though some people will try to convince you otherwise.

I was diagnosed at age 71 with a PSA of 5.65, Gleason score of 3+4, and a tumor confined to one quadrant of my prostate. There was a reasonable case for active surveillance, but ultimately I chose surgery because I wanted it gone, and was willing to live with the side effects. Thirty months later I've had a biochemical recurrence, and am now again trying to decide what to do.

I read a recent (2023) study in the New England Journal of Medicine that concluded mortality was essentially the same for men with non-aggressive prostate cancer, regardless of the treatment option they selected (https://www.nejm.org/doi/full/10.1056/NEJMoa2214122). I found this very reassuring, and I'm now seriously considering adopting an active surveillance strategy, and simply enjoying the rest of my life without further treatment.

I wish you the very best of luck in wading through all the information, and sorting out what you want to do. I found the process somewhat overwhelming, and the doctors not terribly helpful as they all seemed to have their own personal bias (urologist recommended surveillance, radiation oncologist radiation, and surgeon surgery). But, you will get through it and will choose what's right for you.