My psa was almost 20 and was going up exponentially when the third biopsy found Gleason 7 cancer. Had surgery at 66 but had a positive margin on the pathology report and it recurred after a little over a year. Had radiation and psa has been <0.010 (undetectable) for the last year or so. At 82 you probably wouldn’t be offered surgery but radiation gives practically the same results/cure rates. There are different radiation regimens but in my case it was 8 weeks of once a day treatments. Other than the monotony of once a day trips to the clinic, it was essentially a non-event.
Research your options, side effects, etc. so you can ask informed questions and go see the doc. Depending on your overall health, he may just have you do “active surveillance” where you keep an eye on psa and have biopsies once a year or so to check for progression.
