Just joined group.

Steve, thanks. Options were AS or surgery. No mention of brackytheropy . 1consultant, 2 drs said maybe go with AS. Derriford consultant , “surgery” as of my age 57.

Bear in mind not all cancer centres do Brachy but Radiotherapy should be ok.

I had External beam Radiotherapy, it was relatively easy.

Only time Radiotherapy not such a good idea is if u have existing bowel or urinary issues

All the best

Steve 

Good luck tomorrow - I hope you can get sorted - to me (a wimp when it comes to anything to do with needles) Brachytherapy looks like a cracking alternative.

Oh and to edit a post - just click on the "more" button at the bottom (although I understand that it's "gone missing" on the mobile phone version).

Best wishes - Brian.

Thanks again .

Hi MWP - just another recurring thought of my own : with Gleason 4-3 I would not consider AS.  Why kick the can down the road?  You are young and this is not going to go away of its own accord. Your prostate has decided to mutate some cells and some of those are grade 4.  As such, they will continue to grow. 
On the plus side, you’ve caught it very early. I would press for brachytherapy. If the nearest NHS centre of Excellence for this is 100 miles away, so be it.  You would have one trip for pre-op, and one trip for day case Operation. Get a B&B if necessary.  Then you should be referred back to your local hospital for follow up.    AW

I hasten to add that, if there is no doubt that the cancer is contained within the prostate then brachytherapy as a mono therapy may be suitable.

if there is doubt (like there was with me) the brachytherapy boost may be best.

However, you are young, so your consultant will be considering the possibility of collateral radiation damage 20 years from now. My opinion is that the LINAC machines are so advanced nowadays that this aspect of risk is diminishing.

of course, your consultant knows more of your details (including biopsy) than me and he has trained for many years. So, put forward the questions and let him or her decide on what is most appropriate for YOU.

Good luck and keep your new friends on here informed if you want further advice.    AW

Yes there is a difference between & (4+3) and (3+4).  the higher the first number the more aggressive the cancer.  I had PSA 13 gleason 7(3+4) and T2 N0 M0 - though T3 stage could not be ruled out because of the location of the tumour near to the edge of the capsule.  Started Hormone therapy with 10 days on Bicalutamide tablets and had 2  x 3 month HT injections and then had 28 days of  Radiotherapy after my 3rd  and last 3 month HT injection that was back in 2016/17 and been cancer free with undetectable PSA since then.  Back to normal within 9 month of my last RT session and never looked back.  I was not given the option of Active surveillance (AS) due to the location of the tumour.  My brother was diagnosed with Pca at about the same age as I had been but with gleason 6 was offered AS or Brachytherapy.  Because our Dad also had PCa he decided to not go for AS but go ahead with brachytherapy only straight away and so far it looks like we have both been cured.  though every PSA test makes us worry.

Ask to be referred to a Radiologist for a consultation.  I saw both.

Brachytherapy may not have been available at the hospital you were at so you need to be proactive and ask for a referral to see someone  who specialises in Brachytherapy about it.

You need to speak to your consultant urologist and ask to be referred to a radiology department that deals with brachytherapy and Radiotherapy.  as has already been said if you see a surgeon he is most likely to suggest surgery because that is his speciality and he will not necessarily know so much about and be up to date with other treatments.  there is no reason why you can not ask to be referred so do so and explore all options.