Mauk, My RO at Sloan in Commack, NY is Dr Andrew Barsky - young and phenomenal.
Also want to add, it seems that your Gleason score was gotten via tissue removed during HoLep?
Don’t see any mention of an MRI targeted biopsy. It is possible that the procedure only removed cells LINING the gland to facilitate urination and did not sample cortex tissue INSIDE the gland.
Not to put you through extra testing, but you may have to do that before you can make a decision. Your inner tissue could be higher or lower Gleason-wise. Best,
Phil