That seems like a lot of treatment for a 3+4 Gleason, but I'm new to this message board
I recently had a parametric MRI that showed PIRADS 4 and a 12mm lesion, also a 95 on the 4K score I am having a fusion biopsy in a week. I am 70 years old, and I will not consider surgery, unless Gleason 8 +
My Dad had PC at age 63, had a Radical Perineal Prostatectomy in 1984, much different than today, with advanced techniques. It left him impotent for the rest of his life. He was treated at Mayo, they also did an orchiectomy ( removal of testicles) and put him on Casodex? and other hormone blocking drugs. They did not get all the cancer with the RP and it eventually spread to the bone, but he was 90 years old at that time, and he actually died from a sepsis infection. The hospital doctor and my Dad decided not to treat, considering that bone cancer death would have been more painful and drawn out. My Dad was always cheerful, had 65 people at his 90th birthday party, played golf until age 87, and generally enjoyed life. I don't think I would be as resilient