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Your concerns are well founded. I would suggest getting a second opinion on your biopsy slides @ John Hopkins. Can you tell us a little more about his biopsy report? For example, the length of the section with cancer, the amount of gleason 4 in that length. UCSF is allowing men to do Active Survelliance with small volume gleason 7 tumors with small % of gleason 4. Another suggestion is getting a mpMRI. This will help determine if there are any tumors that the TRUS biopsy missed and help you determine if AS is a reasonable option.
John Bonneville, am I correct you are a surgeon, which university did you graduate from and where did you practice and how long have you been a surgeon. What are your qualifications.I am new to this site, many thank keep up the good work. Cheers Harold H.
I see this is your first post on YANA Harold, so may I, and no doubt a few others as well, extend a warm welcome.
Now to the matter raised in your question. Harold, several posters on here do have health professional backgrounds. Some portray their credentials, others are more circumspect. Suffice to say my musings on here, are of a general nature only and not mean to be prescriptive. I do so, as I still have an active interest in PCa both personally and with other men in my local community.
My advice is to seek advice from a prostate oncologist who is treatment method agnostic. My oncologist in in Southern California is adamant that seed radiation leads to better outcomes than surgery, bolstered by medical studies. Plus an oncologist may not even recommend surgery or radiation at this time. I'm not sure who's available in Florida, but it would be worth traveling to the right person. I moved to Southern California to be near the best care, but have family here also.
