Gleason 6 (3+3) treatments

Hello, I was just diagnostic with Gleason 6 also and my follow up appointment is this week, Im not sure what to decide regarding my treatment! please advise if possible-

Do some research. Gleason 6 doesn’t have to be treated right now. You can go on Active Surveillance
Suggest you go on YouTube and search Gleason 6.
Can look up Prostate Cancer Research Institute. They have podcasts that discuss this diagnosis. Was it a random biopsy ?

Find a doctor you really trust . If you can get recommendations from others men you know in your area is a good idea to me. But you have to remember we are not all the same even personality made a difference on a treatment we may do. Some are get it out others are just wait and see. I think once you made a decision you will be happy with it. It seams most men are once a path is chosen. To me decision making is very difficult but for me surgery was not as difficult decision to make as I am a get it out person. I have faith your path will get easier and you will find peace with it.

Yes, random biopsy but after a nodule was felt during DRE. My urologist told me it was "nothing", but now my PSA has jumped from 4.3 to 6.4, so I'm waiting to talk to him again.

Thank you for your reply and support- It was a PSA on 4.6 during a regular check up , I don't have any symptoms but I know this can be go to the next phase anytime- I'm only 55 years old and I'm not sure what he will offer in my appointment this week so that's why I'm trying to get as much a feedback from you who confront this health issue already - I'm grateful that I have this support group

I highly recommend reading Dr. Walsh's "Surviving Prostate Cancer". Take your time!

Hello, My gleason is 3+4. I don't want it lingering in my prostate. I was given three options at first. 1. Do nothing 2. Seeds 3. Remove the prostate.
I saw two other urologists. Both suggested focal point. Then I had a mtg. with the oncologist. He left it up to me. He offered focal or hdr/brachytherapy. I'm getting hdr/brach in 2 sessions beginning next week.

Joe,
I have two friends with Gleason 3/3 they've had for close to 10 years and are under active surveillance. Close watch of their PSA and an MRI every couple years is their "treatment." According to their doctors, they may never need additional treatment. I had similar for 2 years, but when my PSA rose, the doc found something suspicious in a digital rectal exam, then the biopsy showed a 3/4 Gleason. That's when they said I needed treatment so had a prostatectomy (3 years later). PSA still at zero and no complaints

Go for a 2nd Pathology opinion of your Biopsy Slides for assurance they did not miss Gleason 4 .
If 4 it may well change your treatment options . 95% plus of 3+3=6 are put on active surviellance . Others select LDR Brachytherapy , without EBRT or ADT . with scheuled regular monitoring .
I have a friend , digonosed at age 55 . On active surviellance for 5 years - currently reviewing other options while he is still in excellent health otherwise .

Hi Richard,

My PSA just went up from 4.3 to 6.4 (first time ever above 4.3), so I think I may be in the same situation as you. Waiting to see the doctor again. Can I ask.... was the prostatectomy done with robotic assistance? Any side effects that lingered for more than a few weeks?

Thanks
Joe