None of us are professionals but here's my opinion.
3+4 is near the best case of 3+3 and your psa is fairly low. In general that should be good news. Although it can depend on just where the lesions are located. They might be well within the prostate or nearer the edge. You haven't mentioned a bone scan so perhaps aren't having one, I think most people do have one but not necessarily so.
If it's well contained it is possible to completely remove it right away and then as your Prof says live happily ever after. My prejudice some think is towards surgery as it can remove it completely whereas with RT there are hormones and then the radiation to shrivel it and it can be well over a year before it settles and you're likely to be on hormones for that time at least.
After an operation your waterworks should have a much bigger flow whatever happens. There is a chance it might be difficult to control but most recover by 6 months.
If you have an op you might be better to rest for a few weeks, then you're likely to have your first consultation after 6-8 weeks when your psa should be almost zero. After that it's 3 monthly blood tests for 1-2 years then 6monthly, then annual forever.
With RT you're likely to need hormones for up to 2 years plus the blood tests.
If all goes well after the first 1 or 2 meetings you shouldn't really need to meet anyone as telephone consultations should do. Although doctors prefer to see you in the early period as they get an indication from seeing and talking to you and might get some hint from you of things they can do improve matters, e.g. incontinence or erectile dysfunction or random pains. It took 2 years before I was allowed telephone consultations, and they were with a nurse, and to be honest there was nothing much to say although she was very good at checking if there was anything I needed.
Hope that goes some way to answering your questions.
All the best, Peter
Edited by member 01 Jun 2021 at 11:56
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