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From my layman's perspective you appear to be in need of some form of treatment (in all likelihood a fairly aggressive form).
A second opinion on your slides is never a bad idea.
If I were you I would concentrate on researching my treatment options.
In any event please accept my best wishes Don O.
Yes, there is some unreliability in a biopsy. Examples would be 3 and 4 might really be a 3 and 3 which could make a difference between going with active surveillance or a prostatectomy. In your case it won't make any difference because if you downgrade a 4 and 5 to a 4 and 4 you would still need treatment ASAP. I would focus on which treatment to choose and waste no time in getting it.
I was training for another triathlon when I was diagnosed; I'm not sure why but my prostate cancer support group looks more like an old men's running club than a group of cancer survivors.
P.S. - You should go to a PC support group. You can find out about the doctors and treatments from a patients perspective.