Gleason 7 sounds lowish but is it 3+4 or 4+3. Mine was 4+3 upgraded to 4+4 after the operation when they gave it a real look. 4+4 isn't so good. PSA 28 isn't low, but isn't a true measure.
Considering where it is located and how big it is could be a factor. The urologist told me if was near the edge but they couldn't be certain how big it was. Although the surgeon said it was 13mm near the apex and drew a diagram. From that I felt surgery was a good option as it looked away from other organs. If it was close to the bladder then RT can give a wider treatment. Also RT could cover lymph nodes, I believe. Although the surgeon will make a judgement whether to take lymph nodes. He didn't take mine.
I was very prejudiced towards getting it out whatever side effects, and having a proper pathology analysis. Also I knew after 7 weeks that if my psa goes above almost zero then it doesn't look too good.
We all need to make our own decisions.
I found that two days in hospital was no issue and a few weeks later I was back to normal except I leaked, but less and less for another 4 months. I still haven't got a proper erection, in fact it's very temperamental, and that might be partly mental. My wife is more interested in me being here longer, sex hasn't been a major factor for either of us, so it wasn't an issue.
As for changing diet, depending what your diet is now, that can be a good thing. Like the Macmillan advert says Cancer doesn't give a hoot about you. Being healthier in general must be of some benefit to perhaps last longer and put up with more but is unlikely to stop it, unless it's a single cell that tried to be lucky perhaps.
Unless the doctor recommends Active Surveillance I'd go for treatment. I was offered AS with a template biopsy and I'm glad I didn't take it.
All the best.
Edited by member 26 Oct 2019 at 14:48
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