I am 70 years old just had MRI Fusion perineal biopsy, 23 cores total 6 were Gleason 4+3 Grade 3 w/ 70% 3 were Gleason 3+4 Grade 2 40% Mayo doctors are talking surgery, or I guess I could do Proton Radiation, both have side effects, Why is no one talking about the HiFu ultrasound, Tulsa Pro or Brachytherapy, all seem to have less side effects, I only have a lesion / small tumor on one side so would be a good candidate for focal therapy, I've even read about laser focal therapy which uses heat to destroy only the small ( 12mm) cancer area. While there are sucess stories for RP and Radiation, there are also horror stories, and I would never consider hormone therapy, just too many negatives. Quality of life is more important to me than quantity, and if can get 5-10 more good years I'm happy