@higgins56
My brother had 4+3 and had the SBRT treatment three years ago when he was 77. He had some minor urinary issues that Flomax resolved. It works quite well, and you have such a limited case without any spreading you probably will have long-term resolution.

I guess the AS option is still open since your amount of four is so small.

And your latest biopsy with seven chorus positive. You don’t mention whether they were all 3+3. You could get a second opinion biopsy from an expert that has done them for many people for a couple of decades. They do charge $500 but you can speak on the phone with the doctor for as much time as you need once you get the results.

Here’s two highly respected doctors that do it, They will work with your medical group to get samples.

Dr. Epstein biopsy
https://advanceduropathology.com
Dr. Zhou

Send an email to Ming.zhou@mountsinai.org to inquire about a second opinion and ask for his specific instructions for the process.