I am 53 years old. my psa is 14.5 and geleson is 6. whatshould i do?

See URO: You need to see a urologist who specializing in prostate cancer and have a discussion on what treatment options are best for you. Best wishes.

Intermediate Risk: Based on that info, this would likely be classified as intermediate risk disease by nccn criteria. A consultation with a surgeon and radiation therapist would be advised for review of your case and treatment recommendations tailored to your specific situation.

PROSTATE CANCER: The rectal exam and number of cores positive are very important. These give a more accurate clinical staging that may be the only staging for prediction purposes he will get unless he opts for surgery. He is in the interm. Risk group with his psa value , of failing first line tx.

Some thoughts...: Are you 43 or 53? Either, you're one with low-grade prostate cancer at young age. Most likely, you will be advised to have rx for possible "cure". How to decide what rx option a man needs largely relies on balancing out the following factors: age, serial psa change, dre finding, us finding, tissue grading and other related parameters, medical co-morbidity, patient's will as to sex and voiding...