Hello again Mark.
I would have thought the Gleason score would have been international but perhaps it's called something different in Lanzarote.
Once the scans have been assessed both you and your medical team will have a better idea of treatment.
I didn't suggest it before (although I know one of the other members did) because I wasn't sure if PCUK would post abroad but if you order THE TOOLKIT through this site it is very helpful.
Even if you cannot obtain a hard copy I think you can still view the various aspects of it online.
It's full of info re treatments, side effects, expectations etc. Well worth a look
Keep strong. Keep posting with questions. Somebody will have been that route and will know the answer or how best to advise.
Best Wishes
Sandra