@layingthegroundwork
We had a person in this forum that was a Gleason 6 But had 12 positive cores. In a rare case like that, where there are more than six cores with a G 6, the recommendation is to get it treated.

For the vast majority of people with a Gleason six treatment is not appropriate. The whole reason they stopped doing PSA tests 14 years ago was because people were being treated when they only had a 6. They should’ve been put on active surveillance. Why explain options when they aren’t necessary, it freaks people out.

I have a friend who 25 years ago had a prostatectomy that was botched and he was told after that he really had a Gleason five. Well, that’s not a real number, But apparently he was way over treated. He had a 6, but his tissue looked mostly totally normal. This is what was happening to people, So treatment really has to make sense.

@layingthegroundwork Are you in a hurry to have a treatment that will leave you dry with a good possibility of ED and incontinence? The entire no PSA tests was due to low Gleason 6 being overtreated. By the way there are only grades 1 to 5 (maybe someone will propose a grade 6 for when you die of prostate cancer). Gleason 6 is Grade 1. When you go to Grade 2 you should look at treatments, although continued active surveillance is still an option if the cancer is not aggressive. There is also a staging classification that goes from I to IV (with some subtypes in the stages).

A lot of doctors fail to go over all of the treatments especially the focal ones that may not be covered by insurance.