Please change the provider ! Your 3+3 definitely is not the case for prostate removal - I have no idea what was doctor's reasoning for that ? When was your biopsy done ? If two years ago than you need to have a new biopsy to check what is the gleason now and MRI is a MUST ! They should do MRI every year to check the progress and size of the lesion. Biopsy is always done with those needles but good urologist uses MRI and ultrasound as guidance for placement of a needle . Also, biopsy should be transperineal .

If new biopsy shows that you still have 3+3 or even 3+4 favorable, you have many options for treatment and please do not start any treatment without doing all of the tests and talking to specialist for prostate cancer. Regular urologist is NOT equipped to follow you and advise you. My husband and me trusted our urologist and ended up with 4+3 unfavorable and aggressive cribriform glands and IDC.

PLEASE , please go to the cancer center of excellence and urogenital oncologist.

A Gleason 3+3 she is not really considered Cancer that needs to be treated.

I’m also with Kaiser and I had a 3+4, so they treated me. If I had a 3+3 and they treated me, I would be very upset, That would be considered over treatment by most competent doctors.

If you review the recent medical information about a Gleason six you will find the medical community feels that people with a Gleason six are over treated. Staying on active surveillance is the optimal thing at this point, Unless they found some extenuating circumstances in your biopsy or heredity. You can look on YouTube for videos about it.

Here is a video with Dr. Laurence Klotz, one of the experts on active surveillance. He can give you answers as to why you would or would not be a good candidate for active surveillance.