Hi Thanos, I'm a newbie too - 58, awaiting guided biopsy results in the coming weeks. MRI suggests likely cancer in both sides but contained, PSA of 6. The best outcome for me, will be AS and then decide on next steps as the months (or years) roll by.
I've done some research, but still fighting through the jargon and options. Targeted treatments like cryo appear to be unusual - London-centric and only a few thousand have been treated in each of the three types of focus treatment (as I've read). I'm very interested in these options but there are side effects with every option - incontinence and erectile dysfunction in the short term and serious risk of them in the longer term. And the impact on worsening later treatment success if the cancer returns are serious indeed.
At 73, there's a reasonable chance you'll die with prostate cancer, and not from it. That was my uncle's outcome, who died at 78 (heart disease) with prostate cancer. And that is guiding my reasoning that every year or month without treatment (I stress this is for me, we all react differently), will be that much longer without having to wear a catheter, pee pads and or worry about penis pumps and viagra etc. I arrange the care for my 90-year-old dad and 88-year-old mother- urinary incontinence is a daily and sometimes overwhelming issue to manage.
I ran your original post through the ChatGPT AI agent (www.chatgpt.com). It very calmly sets out the options for you in plain English. Don't take it all at face value - maybe digest what it says if you choose to use it, and come back here to discuss? I'd also rediscuss any outputs with your local hospital consultants too.