A/S

That’s great news Fleet , interesting that your results fluctuate, maybe you are doing something (cycling, sex etc) that might cause an increase?  Anyway keep doing what you are doing for as long as possible.  Thanks for the update.  David

Thanks for the update Fleet and glad that your PSA is showing that you are stable. When you get your MRI results just check that there has been no change in the lesion size. Let us know how you get on.

Impressive stats.  The term “balls of steel” springs to mind!  Seriously, though, you have an excellent approach to the information trend - a valuable commodity - and with Gleason 3-3, it’s giving you lots of time to concentrate on your quality of life.  Long may it continue!  It should be a major comfort to those on here who are presenting with similar statistics.  AW

1. No cycling and I’m 70 now and do play golf 3/4 times a week, think I’m lucky that A/S doesn’t bother me that much I just put it to the back of my mind and get on with life  

1. That’s the main reason I posted to try and give others in a similar position some encouragement. 
   I realize I’m one of the lucky ones compared to some on here 

 Fleet - you’re quite right to do so.  Some men hear the word “cancer” and go into full panic mode (even to the extent of “I want it gone” and dash to prostatectomy, without fully considering side effects).  They don’t hear “Gleason 3-3”, or “3-4” - both of which , if there are no aggressive traits on the histology, are perfectly manageable.  Well done and keep the information flowing.  Every little helps.  AW

I would hasten to add, though, that the “balls of steel” would apply to any man progressing from 3-3 to 3-4.  This is because, by its histology under the microscope, Gleason 3-4 cell structure is a looser format than the more tightly packed Gleason 3-3.  Of course, a Gleason 3-4 with only 10% grade 4 is a different proposition to one with 40% grade 4.  
I think of Gleason 3-3 as a wart-like slow growing growth in the gland. Personally, if I had any Gleason 4, I would be looking towards a focal therapy like HIFU or brachytherapy as a mono therapy (no HT with either).  Once you get a higher percentage of grade 4, particularly with aggressive traits such as cribriform, perineural invasion or AIP, then I would be looking for a more aggressive treatment such as brachytherapy boost with 6-18 months HT depending on likelihood of any escape.  I would stress that I am not medically trained and we are all different with varying prognoses.  I am, however, well researched, so these pointers should help readers frame some questions to their consultants for their particular cases.   AW