Confused Grade 1 or Grade 2?

Surf, AS is watching the PSA multiple times a year, not every 5. At worst it's generally 6 months, and that's after 2 years of every 3 generally. Also, 4+7 isn't a legitimate Gleason, did you perhaps type that wrong? Not only is 11 not a valid number but usually the two numbers are one digit apart rather than four.

Getting it done now is YOUR choice, not your doctors choice - but it may be their recommendation. Get the Decipher test so you at least know if you are in the aggressive category or not and that will be some peace of mind for you but also more information for determination of treatment.

I completely understand where are you coming from. You just got results and all of this now looks daunting, overwhelming and scary. But your results show very early changes so you can take time to do research, seek other opinions and think about everything with no rush. The AS that your team proposed is very active - remember, my husband had MRI every 2 years and had one single biopsy 2019 and none till 2025. His PSA was going up and down in that period so it was not the perfect parameter. MRI actually showed his lesion in the right lobe getting smaller and guess what - that lesion went berserk. But, my husband is not a typical case and he had bad doctor, so please do not let it be good example for you. I am mentioning his case just so you make sure to have your prostate checked regularly and OFTEN. Your team made great AS plan, in my opinion, remember my husband did not have anything like that. You definitely have 6 mos to think about it all, at least about what treatment would be the best for you. Than you will have another biopsy and/or treatment, you have time to think it over. You seem to be in good hands and I am sure that they would understand if you choose treatment sooner rather than later. You have many options at this point and I am sure that all will be well in the end.
Wishing you the best of luck with whatever choice you make.

Oh my - sorry, yes, NOT 4+7 , ayayyayyyy, 4+3, I apologize, had very little sleep last night : (...
Also allergies are killing me I can hardly see anything since my eyes are tearing like crazy .
But it is not even just 4+3, it has cribriform and IDC which puts it in very aggressive group. According to some pathology experts gleason in his case is not just 7, it is 7.5 .

Sorry for the typo ...

PS: AS involves PSA, biopsy, MRI in regular intervals . My husband only had PSA checked every 6 mos and MRI every 2 years. He should have had biopsy every 1-2 years once 3+3 was detected .

Tough call. There's not much cancer there, especially if you subscribe to the notion that 3+3 is not a threat to metastasize. If you go the radiation path, good news a 3+4, intermediate favorable, does not require testosterone therapy. I had a similar situation with a second opinion changing 4+3's to a 3+3 and a 3+4. As previously stated, biopsy interpretation is subjective so receiving conflicting second opinions is probably not that uncommon. For what its worth, I had fewer 3+3 results with one 3+4 < 5% and went radiation. But I also had a 8.3 PSA. The logic for radiation for me was the fact that I am young, healthy, and should weather the treatment well, no testosterone therapy, and radiation destroys the cancer while maintaining your manhood and ability to hold back peeing when you want. It's always tougher to make decisions when the cancer is borderline than when its obvious. Good luck in whatever you decide.