Hi there,
My husband has a large amount of Gleason 6 (3+3) and is staged at T2c as he has it bilaterally plus it can be seen on a scan. We were given all the same options as you but in addition he was offered Active Surveillance.
Currentl my husband has no appetite for the radical procedures as they feel like an over treatment of a Gleason 6 so has opted for Active Surveillance in terms of UK options,
However with his dad having died of PCa in June 2016 and after much research and three consultations we have decided in addition to have it treated focally in the USA with a focal laser ablation.(FLA)
We arrived in the USA today and the procedure is tomorrow. This procedure does not prevent an RP or RT in the future should that be needed (fingers crossed it won't). This is a privately funded decision however things do seem to be progressing in the UK re introduction of less invasive treatment options for low to intermediate risk diagnosis but they are not there yet unfortunately.
In addition my husband has changed his diet to 100% dairy free ( he was already v healthy- green tea drinking type!) he has also adopted one of the ADD aspirin clinical trial protocols ( low dose aspirin plus vitamin D daily) since 1st January .. His pre procedure PSA has dropped to 2.9 from 3.56 at diagnosis ... Not sure what that's about but his procedure tomorrow has a real time Mp MRI scan so the consultant can 'see' the abnormality as the procedure is undertaken.
Sorry I can't help with advise on the mainstream options but there are plenty of supporters here with lots of experience and wise words in this regard.
Good luck with your decision journey - my mantra is 'time spent on reconnaissance is never wasted' and we have taken 3 months and done a lot of research as this is not a 'slam dunk' decision ...
Just ask if you think I can help further ... Off work in complete PCa focus ATM!
Regards
Clare