The thing to take from it is to make sure that it is Gleason 6 3+3 and that you don't have any other higher risk factors which might make treatment a better option. Active surveillance can be a difficult concept for some to get their head round and it is important to have regular PSA tests and repeat biopsies to ensure that there is no escalation. For others the first thought is to whip it out and get rid of the problem but this can have potential long term side effects which have to be considered very carefully. Another option could be focal therapies but these are not available in all areas. Radiotherapy is another option.
When you see the consultant why not ask "if you or a close relative were in my situation what would you advise". Other questions are -
Size and numbers of lesions.
Position in the prostate
How many cores were taken and the number of positives along with length
Type of prostate cancer
Any adverse indicators such as cribriform or perineural involvement
Ask for copies of all the reports. Four ears are better than two so take someone with you if you can. You might want to record the meeting and most consultants are happy with this but you need to ask.
I have also attached an NHS link which gives some information about ED and incontinence risks with different types of treatment.
