@rnr 1st Sunnybrook is an excellent Cancer Research & Treatment Hospital and highly respected worldwide , and every bit as good as Princess Margaret . I know many of the Urologists and Oncologists at both hospitals . They partner and closely consult together to perform Biopsies and perform Focal Treatments at several Toronto area Clinics .
You are in panic mode as most newly diagnosed patients are -- it's a kick in the gut to hear you have cancer . As we all learned on this and other forums , plus educating ourselves via Dr. Patrick Walsh's book - " Guide to Surviving Prostate Cancer Ediition 5 " , ( the best money you will ever spend ) to be our own best advocate . " DON'T MAKE A KNEE JERK TREATMENT DECISION YOU MAY REGRET THE REST OF YOUR LIFE " . You are not going to die tomorrow , you probably had this cancer for 10 or more years . Patients have been on active surveillance for years - many never requiring treatment . Prostate cancer is SLOW GROWING and as the experts say . If you are going to get cancer -- Get prostate cancer , it is the most curable .
NEXT : Remember . Your Urologist will want to perform surgery . It's in his job description .
A Radiation Oncologist will want to radiate . It's in his job description . There are numerous other successful Focal Therapy options out there. I have 4 Cores Gleason 6 and 2 Cores Gleason 3 + 4 = 7 . and am on Active Surveillance . i.e. Regular PSSA Tests , Bone & CT Scan to check for metastasis , plus MRI and depending on the findings another Transperineal MRI Fusion Biopsy .
Have you had a Bone & CT Scan ?
Have you requested a 2nd or 3rd opinion of your Biopsy Pathology results to confirm your Gleason scores ?
How many cores were taken during your Biopsy ?
At this juncture continue with AS as recommended by your Oncololist - regular , every 3 months PSA etc . You will settle down as you educate yourself and commit to being " YOUR OWN BEST HEALTH ADVOCATE " and don't be shy about getting " GETTING PROFESSIONAL 2ND OPINIONS " It is highly recommended .
You may wish to follow Dr. Mark Scholz on his U-TUBE Videos Re: Various prostate cancer issues .
Good luck .
p.s. You may wish to contact me privately and we can communicate further .