Gleason7(3+4) - treatment options recommendation

Oh , sorry - surgery 5 yrs ago.

I lived in White Rock near Vancover when the Hong Kong money was flowing in . At one point English was the 2nd language in High School . With the millions of illegals and woke society and others our country has become a basket case .
Toronto is likee the wild west - gang shootings everywhere everyday -- You are unsafe anywhere anytime . INNOCENT PEOPLE KILLED IN THE CROSSFIRE is not uncommon .
Our health care system has . You can wait over a year for an MRI . Canadians are travellening across the border into the USA for MRI , CT Scans etc .
Like the EU , UK , Canada ,Australia etc .and of course the USA .-- The illegals have more benefits and rights than the citizens .

In 2017 I had Gleason 6 on both sides of prostate. In 2023 I had a small lesion Gleason 7 on one side and had all of the gleason 6 & 7 removed from that side. I am going in for an MRI next week. You may end up with a small hole in your prostate. Mine would fill with urine, and when I rolled over the urine would move and it felt like you were wetting the bed. The hole healed and there are no issues now. I ended up with some infection from the biopsy before the HIFU, but was cleared up with 30 days of a heavy antibiotic. Life is good now, with no loss of erections or continance. The cathetar for a week is not a fun experiance, but better than a Gleason 7 tumor growing in your prostate. I still have Gleason 6 cancer on the other side of prostate, but life is good. I am 58. If you still get erections, make sure to clean the dry blood off the end of the catheter and keep it lubricated, tough to wake up in the middle of the night with an erection trying to grow over a dry tube with dried blood on it.

Was your grade 2 cancer deemed “favorable” or “unfavorable?” That can make a difference regarding treatment or active surveillance. Also, did you have a genomic/genetic test, such as Prolaris? Those tests also make a suggestion/determination about treatment or active surveillance.

Group 2 will always be favorable as in my case. For prostatectomy the Genomic/Biomarker does not apply since the mri shows it be local to prostate this time. I will however check this in my appointment with R/O as this test is more of a candidate for radiation treatment option (no expert here but that’s what I heard from my urologist and pcp)

Have you investigated NanoKnife or HDR Monotherapy Brachytherapy or SBRT ?

So you are kidding yourself with a false PSA number ? How does this help in the long run ?
You may as well kid yourselff that you don't have prostate cancer .

Oh man, we LOVED Toronto!! It seems the whole civilized world has gone to shit.
I’m no social anthropologist, but I think that too much immigration of any kind (legal or not) without the demand for it can ONLY lead to crime and upheaval. The controlled immigration that our parents and grandparents faced was due to a direct NEED for skilled laborers when our huge cities and infrastructure was being built. They had no reason to turn to crime (of course, some did!) since they could support themselves and their families legally.
But what option does a refugee or asylum seeker have when faced with the fact that he/she lacks the necessary social, language and technical skills to survive?? Not giving them a pass for criminal behavior - no way! But you cannot just thrust people into a strange environment and expect them all to function normally; governments cannot bow to extreme political pressure and flood their mostly homogenous (culturally different but sharing the ethos of the country) citizen populations hoping to absorb these individuals. Look what happened when Angela Merkel let in one million Syrians - still chaos, resentment and in some cases, complete LOSS of German identity in some villages - gone for good and now Syrian. Is that what we want?
What’s going on in both your country and mine is a tragic experiment gone wrong. You and I are probably both offspring of immigrants somewhere down the line - only the Native peoples were here first. I have NO problem with legalized, controlled immigration. That has ALWAYS worked in every country I can think of.
Please let me emphasize for all reading this that these are only MY thoughts and I don’t want to stir up any political red/blue hornet’s nests. I personally view myself as a centrist and have NO registered party affiliation. I have no energy to argue with wing nuts from either side. If you agree or disagree that is your right and privilege…
Be well, James.

Sorry about that @clandyboy, thought I was speaking with James but glad to know you as well!

I emigrated from Northern Ireland 60 + years ago -' A Mechanical & Electrical Engineer .
I live in the Niagara Falls Region . I visited Toronto recently , the first in 7 years . Not knowing it was Toronto, Canada . I would have picked South Africa or Japan .
When I emigrated you needed the following : 1 ( To have a job to come to 2 ) A police background check 3 ) A major medical and finally $ ) Enough cash to cover you until your 1st paycheck .
Today - come on in and bring all you crime and deseases with you . We will look after you .
4 Star hotels , free meals , health care, including dental , cell phones and credit cards with cash spending amounts .
Canadian resident taxpayers - No such benefits for you or our veterans . You are SHOOL .