I was in a similar situation, but had a GS or 7 (4/3). I was 56 (healthy, active, positive life attitude, etc.) last year and was shocked when diagnosed with prostate cancer. For me, I disagree with watchfully waiting for the cancer to grow and potentially metastasize. I always use the analogy of standing on a train track and seeing a train coming a mile down the tracks - Why not get off the tracks prior to the train getting closer? Your cancer is probably contained presently, and to wait for it to grow and potentially spread seems risky to me. However, I am someone that is focused on wanting/praying for 30+ more years of cancer free life and I am not concerned with short term pain or inconvenience to possibly rid myself of the cancer that was growing within me. I went with the most aggressive treatment form - Radical prostatectomy that allowed for post operation pathology of prostate, seminal vesicles and nine removed lymph nodes. Thankfully all were clear - This does not guarantee cancer free life, but is a positive indicator.

If you decide to address your cancer, please do your research and go to a center of excellence and pick a doctor that is the best you can find. I went to Mayo-Rochester. Excellent experience!!

Best of luck with your decision,

Jim