Decision on prostate cancer treatment?

[Agape Man]

My brother is 54 yrs old and was just diagnosed with prostate cancer with a Gleason score of 5. His PSA was 4.25. The biopsy showed that he only had traces of cancer on the right side of his prostate and it was limited to that area. He is in excellent health and very active, and has not shown any signs of any urinary problems.He is considering the treatment option of "watchful waiting". What are your thoughts on this vs possibly robotic surgery? Some doctors prefer surgery when the patient is this young. Thanks for your inputs on this.

[Ken_Russell]

I was 59 and elected the surgery. The PSA is only valuable if you have a base line. Mine went from 1.5 to 4.5 in a year. You mentioned Gleason of 5 mine was 8. The Biopsies did not show all of my cancer. After they removed it they found cancer in more areas that the biopsies missed. I had the surgery last July and it was one of the best decisions I ever made. Recovery time is a pain. However any treatment other than surgery gives it a chance to spread. If it's contained in the prostate and you remove it it's gone. I've had 2 PSA test since surgery and both were 0 Yeaaa. Doctor said has to stay 0 for 4 years to be cancer free/