I was diagnosed 2 years ago with Gleason 3/4 (5%), T2, Second opinion by a different hospital downgraded to 3/3 (T1). Active Surveillance (AS) was not a great option due my "MRI invisible" lesion that would mean frequent biopsies to supplement MRI data and I had hematospermia (blood in semen) as well along with family history of cancer. (The blood thing is a great motivator for treatment). Pathology after "nerve sparing" surgery was upgraded to T2 Gleason 3/4 (30%). No incontinence, but ED is still there at 17 months.

I would recommend going slow on your treatment decision. I recently attended the Moores Cancer center PC Summit. They gave a very good presentation on AS that shows no increase in mortality or negative outcome by choosing AS and then later choosing a definitive treatment. The one caveat to this statement is that you must stick to your AS protocols with routine PSA monitoring, MRIs, and biopsies.

Best of luck moving forward!