@rickdent
At 77 surgery is not the greatest idea. Radiation would take care of this for you and would be just as effective, and last a long time. If you had surgery, it might come back soon and you’d have to have radiation then.

I’m 78 and had my diagnosis at 62. Had surgery because my father died of prostate cancer and had radiation, It came back after 3 1/2 years and I had to have radiation. It has come back three more times, but the drugs they have today work very well And keep me undetectable.

My brother at 77 had five sessions of SBRT radiation. He’s 80 now and doing just fine.

I know people that had Gleason nine and had radiation and it didn’t come back for 15 or 20 years. Rick, The guy who runs the ancan.org Advanced prostate cancer meetings had Gleason eight and had SBRT radiation 17 years ago and is Having no reoccurrences.

I don’t think there’s really a lot of decisions to make, Radiation will work just fine And give you plenty of years.