@ericp502 I fully understand the RADS 4 potential for cancer - BUT NOT 100 % . You are being proactive in requesting a 2nd or even a 3rd opinion of your Gleason Score . You should also consider John Hopkins in Baltimore .
As I noted on this forum several times. My 1st Transperineal MRI Fusion Biopsy was NEGATIVE , which was in conflict with my MRI RADS 5 Score . My 2nd Biopsy was 6 Cores out of 16 Gleason 3 +3 = 6 . A 2nd Opinion ALL 6 Cores were upgraded to Gleason 3 +4 =7 . Favourable intermediate . Finally a 3rd Opinion -- 4 Cores Gleason 6 , 2 Cores Gleason 3 +4 = 7
I am 85 years young - generally in excellent health and currently on active surveillance .
Good luck with your Biopsy . Keep me updated .
p.s. My Biopsies were a walk in the park , without an anaesthetic . This is the common practice in Canada .