@kpg7121 If I am understanding correctly, in March you said the biopsy results were benign. But 3+4 Gleason score is not benign. Did the biopsy report mention anything else like cribriform, EPE/extracapsular extension, IDCP/intraductal carcinoma, PNI/perineural invasion? How many cores were taken, how many were 3+4 and what percentage was 3 vs 4? All things you will want to know when you discuss with your urologist. With prostate cancer, it's not likely someone will have symptoms for many years.