Active Surveillance As A Choice?

It's smart to consult with an oncologist in addition to the urologist. You'll probably learn something and more knowledge is (almost always) good. My oncologist consult looked at other factors in my situation, i.e., size of my prostate (XL), small # of cancerous samples (2 of 23), proximity of prostate to my bladder, etc. Various RTs would be problematic for me due to size/density of prostate and mostly unknown locations of cancer. So AS was confirmed for now, but making checks (PSA, possible biopsy) more frequent. I just hit 79 and am in good health otherwise, pretty active. Also, my urologist referred me to the RO and they have a good, collaborative relationship.

Mayo Clinic stated that if PC is localized, then an oncologist is not warranted, they sent me a letter in writing stating this.

A decision regarding what? To decide to treat?
Even if the 3tMRI was stable with no changes, and PSA was stable?
In this case the decision should remain AS.

Exactly, very good news and hopefully folks are paying attention.

Have your doctors recommended bicalutamide pill orally to go with Active Surveillance? I am 62 recently diagnosed with gleason 3+3 and found cancer in one of 12 biopsies at 10% in the one core. PSA was 7.1

Before he created TheActiveSurveillor.com, Howard Wolinsky was a medical writer for the Chicago Sun-Times for nearly thirty years and a regular contributor to MedPage Today and Medscape. When he was diagnosed with Gleason 6 (now also called GG1) prostate he said no thanks as he was being rushed to take on a radical treatment option. Thirteen years down the road from his cancer diagnosis he is one of the country’s most passionate advocates for active surveillance as a first (and possibly forever) step to indolent/favorable diagnoses of prostate cancer.

THE ACTIVE SURVEILLOR: WHEN THE BEST TREATMENT IS NO TREATMENT
https://fansforthecure.org/podcast/the-active-surveillor-when-the-best-treatement-is-no-treatment/

Active surveilance is GREAT!!! as long as you assume PSA etc will drop...otherwise, research your options and get treatment. Use an oncologist, not a urologist.

Thanks for attaching the photo. It’s basically what I’ve followed since my prostate surgery, two years ago. I feel healthy and my residual lymph node cancer has remained in remission. (Note, I’m on a Mediterranean Diet.)
Enjoy your day.

Since the cause of prostate cancer has not yet been clarified with certainty, it is not possible to prevent the development of the disease in many cases. However, recent studies indicate that by making changes in diet and lifestyle, the risk of prostate cancer can be reduced.