You really need to get second opinion regardless of diagnosis. Are you going to a major facility for your testing and the procedure? This is an important decision for you and second opinions on this are important.

My Gleason score worse biopsy was 3+4=7 like yours. I was not given surgery as option due to age and heart failure. However I am a very active person and do sprint triathlons.

Have you had a Decipher test? That will further rate the seriousness of your cancer. Mine was originally intermediate and was changed to low risk after Decipher. That is why additional test are so important.

Have you considered the new radiation treatments. If you cancer has not spread outside prostrate they have an excellent cure rate. Mine was proton 30 proton treatments over 6 weeks. Others have had a new version with only 5 treatments over 2 weeks. The radiation is far less side affects and complications and is done without any sedation at all. It takes about 10 minutes and you would not know you even had the treatment.

There are some side affects but everyone is different on how much they affect you. I had minor side affects. Do some more research on proton and photon radiation treatments. They use different type radiation. Get a second opinion. And consider (strongly advise) having a Decipher test, PSMA, and bone scan. If those last two are negative you should really discuss those findings with your second opinion and present provider.

You will read a lot of post that some urologist want to do surgery. Some radiologist/oncologist will want proton, some photon. I think you should see a radiologist/oncologist to go over different radiation treatments and their cure rates versus surgery.

Again don't know your specifics and if your cancer is still inside prostrate only, but your Gleason score is not that bad? What was your PSA level? Get a GOOD second opinion and asked about all options of treating cancers and the pros and cons of each. I am 76 and happy with the proton radiation treatments done at UFPTI. I did get two opinions and did a lot of research prior to deciding.