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47 years old with newly diagnosed Gleason 7 (4+3)

Prostate Cancer | Last Active: Nov 14, 2025 | Replies (31)

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Profile picture for edmond1971 @edmond1971

I was 41 when I was diagnosed with PCa and the first path taken was to educate myself on the options and within that process was to have consultations with various doctors and self-education. When you start this journey, the doctors know more than you. The journey on this first path will come to a close when you know more than the doctors, from the point of view of your particular situation, and you will have the best option for you (surgery, radiation, etc...) Then the next step is to find the doctor that aligns with your bedside manner. At this point, you will be educated, you will have explored all options, you will have made an informed decision, and you will have selected the right professional to perform the action.

I'm 52 now and while I am dealing with a biochemical recurrence, I wouldn't change anything about how I went about dealing with this at age 41. The reality is that you could live for 50+ more years, so you need to pick the best option for lasting 50+ years.

I had RALP and was in good health and fortunate that the incontinence and impotence was a non-issue. Not everything is that fortunate, but if you are 41 and in good health, consider this the first and only chance you have for a CURATIVE solution.

be easy with yourself, you will make the right choice

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Replies to "I was 41 when I was diagnosed with PCa and the first path taken was to..."

@edmond1971
Thanks for a very well informed orientation.

I was diagnosed with Gleason 7 (4+3), PSA 11.9, at 67 y/o and my urologist, a board certified surgeon, informed me I was a candidate for either RALP or EBRT with ADT. I chose the latter, and even after 18 months of ADT (which weren't easy) I feel I made the right decision, of course given my circumstances.

You expressed excellently when stating "When you start this journey, the doctors know more than you. The journey on this first path will come to a close when you know more than the doctors, from the point of view of your particular situation,"