Treatment options......

Hi Nick,

I'm sorry that you've had to join our Club, but welcome to the forum, mate.

Here's an excellent video on all treatment options and their possible side effects.

https://youtu.be/zYTU94-8pTc?si=1Z29_l8rbTwF6DHl

Whatever you chose, you'll gets lots of help and support here.

Good luck.👍

Nick, I am sorry I have come to this so late and maybe I am still in time to give you a contrary view. 
I have Gleason 3+4=7 too and the surgeon who did my biopsy advised removing my prostate or, second choice , radiotherapy. 
I refused. A friend had the same 3+4, the same surgeon, the same advice and refused too. He was 50 and went to another surgeon who suggested and strongly supported AS,  Active Surveillance, PSA twice a year and MRI once a year and this is now 7 years on with no change to his status and no treatment! Still continent, still erections etc!!

I have gone to the same second surgeon, top urologist and well known researcher etc who advised me to do the same thing, AS. 
I am 68 , so normal life for as long as possible and if signs of growing cancer emerge, then surgeon says we can zap one bit or more etc! He says I have a good chance of dying with this cancer rather than because of it. 
I hope this helps? R

Of course you’re scared, as I was and Adrian with his video and the other boys really helped but don’t be bullied by any doctor. Our 3+4=7 is exactly what has been in the press about the new thing is not to operate but to do AS. Higher than that they are not sure but for ours many doctors now recommend AS. So if you are told have it removed or radio etc, tell them you want to think about it and get a second opinion. Privately you can see top people for a one off £300, expensive in one sense but cheap when we are talking about our lives. You can see someone else without upsetting the first person - if it’s private for example, you book yourself etc. No one knows. 
Nick, I’ve had a quadruple heart bypass, refused the first surgeon who wanted to do a very invasive operation and researched myself and chose a surgeon specialising in keyhole surgery; I am the first person to have a quadruple heart bypass through keyhole surgery - now I have f… cancer and macular degeneration!!-  because I found the surgeon suitable for me. 
Adrian’s video opened my eyes, thank you so much to him and made me determined to find someone who read my notes, looked at my biopsy results and said yes, we should do AS. If bad luck hits again, I might have to be zapped here or there he said but normally he says it might grow so slowly if at all ( as we get older the cells grow much more slowly) that I should die with it. This is the latest way of thinking by some surgeons for 3+4. 
For this sort of thing, as the other Nick above says, a second opinion is of paramount importance. If you live in or near London, lots of choices. If I can help please let me know, I owe this forum and happy to pass on my bit!

Thank you again.

I will push back if offered removal. AS will hopefully be offered!!!!!

As a possible option from Adrian's video, I did like the option for LDR Brachytherapy. I am aware that this is London based. 

Take care & big thanks

Sorry to hear you are going though the same journey as it’s mind blowing initially.

It maybe prudent getting a second opinion from the top specialist > UCLH or London Bridge (Guys). Connecting with a high volume well respected robotic surgeon specialist is worth investigating maybe while you are relatively young and will potentially have prospects of good outcome while thought to be localised. 

Things to bear in mind is that Prostate cancer is usually a multifocal disease which  tends to appear in the anterior area of the prostate. Unfortunately this can mean  breaking out sooner than one would hope as was very much my case.

While scanning tech is coming on leaps and bounds it doesn’t always tell the whole picture plus biopsy can miss small amounts of potentially higher grade cells. Both factors were very much at play in my case and post RARP histology upgraded me to 3+4 T2C. (From 3+3) which was close to breaking out and becoming T3. In my case I’m so pleased I ignored the local team and MDT regarding AS and got a second opinion with a top London prof surgeon.

I’m now nearly 6yrs post op …fully continent, no significant ED issues and PSA undetectable thus far.