Hi Dawson ado,
I am also Gleason 4+3 T3bN0M0. I had a bone scan (which was clear) as my PSA on diagnosis was 36. It’s difficult to know what your options will be until you have all the tests and scans, but for me it was HT and RT(which I’m going through at the moment).
Your MDT will decide on what options are available to you but the final choice will be left to you…if there is a choice,in my case there wasn’t.
Good luck with your journey …you’ll find this forum incredibly helpful.