My brother was a 4+3 and at 77 had five sessions of SBRT radiation along with six months of Lupron. He did have some problems with peeing, but it was a resolved with Flomax every other day, That problem only lasted a few months. He’s 80 now and doing fine. Because you are a 3+4 they may not want to do ADT. He had small cribriform And PNI.

I had Surgery at 62, I also had PNI. It seems that I see PNI Quite frequently, it is not really considered a real aggressive problem. After surgery, I was a 4+3. I’m still here 16 years later, even though I’ve had four reoccurrences and have BRCA2 a genetic problem that makes my cancer much more aggressive.

Prostate cancer is a chronic disease for most people not a deadly disease.