I am 70 years old had fusion biopsy with 23 cores 14 benign, 6 with 70% 4+3=7 and 3 with 40% 3+4=7 I had the PSMA PET which showed nothing outside the prostate. I had a Decipher test which came back 0.38 so low risk of metastasis I have met with Mayo surgeon, Radiation Oncologist, and Urologist regarding focal therapy. My prostate is 50.4 CC and my tumor only .42 CC so about .5% volume. I have decided to do nothing, as the side effects are just not something I want to deal with. The study from the UK which took thousands of men with Intermediate risk PCa 1/3 did surgery, 1/3rd radiation and 1/3 Active surveillance, at the end of 15 years the mortality rate was the same for all 3 groups. I could only wish I had your numbers, remember 3+3 =6 Gleason is not really even cancer. Don't get sucked into the treatment game, it's big business. I am doing the Ketogenic diet, absolutely zero sugar and very few carbs, that starves the cancer cells, I have only been on it 2 months, but my PSA has already dropped from 6.62 to 5.12