You need to understand that the Gleason score actually has little to do with how serious the cancer is. I also have my own Gleason score of Seven, since 2012. Seven is the total of two scores, a three and a four, or a four and a three. All that these really mean is that there is a different variety of options for the PT and the Uro to take their pick from. My PERSONAL choice was 1. Surgery of some kind. 2. Radiation of some kind, especially Proton Beam. 3. Hormone shots every month to six months. 4. Watch and wait. My URO chose a year between shots. He said I was too fat to do the surgery bit. He said OK to the proton beam, but that radiation oncologist quit and moved to another country. He started with the shots every three months, then 6, and then a year. Finally, He really went off the track, and said we would just watch and wait. I would have changed UROs again, but my previous URO just wanted to prove his presence in the LGBTQx community. About then, the thing about Amyloidosis reared its ugly head, so I am watching and waiting. WATCHING the world go by and my money go out the window, and WAITING to die. All the docs agree that I have less than two years to go. By the way, my PSA is now approaching 20.