What are the best treatment options for Gleason 4+3 prostate cancer?

Look into LDR brachytheraphy

Getting a diagnosis can feel overwhelming, but it sounds like you're taking positive steps by consulting with specialists at a reputable cancer center. Treatment options for intermediate-risk prostate cancer often include surgery, radiation therapy (including seed implants), and sometimes active surveillance, depending on individual factors that your oncology team will evaluate. The specialists will be able to discuss the benefits and considerations of each approach based on your specific situation, age, overall health, and preferences.

God be with you, Paul. Heres my story. If you’re given the opportunity-DO RADIATION FIRST!! You can always have a prostate removed if something changes. Radiation-depending on the form-typically has much less side effects. I am 60 years old,PSA 5.7 Was on testosterone therapy for last 10 years, now titrating off it. I have 1 spot that is a 4+3 Gleason score, the rest were 3+3 and3+4. My regular urologist said it’s either total removal or 6 weeks of radiation-BS!! I called Sloan Kettering in NYC-they got me in in 3.5 weeks. I was able to see a Oncology Radiologist, as well as a Surgeon (hoping focal treatment was on option-which it is as a 3+4 but not 4+3-uggh) all at the same visit. Dr is not recommending hormonal suppression at this time. Were your cells benign or no?? Your options change if squamous cells. Mine fortunately, were not. From all the research, Low dose radiation has a lot more side effects. Anyway, I leave for NYC (a4.5 hr trip) and on Tuesday-they’ll put me under anesthesia-place gold markers so there’s precise location where they want to do radiation, a rectal spacer (a gel/chalk they inject between the rectum and prostate-which decreases any radiation side effects from 30% to less than 2% ) And then while I’m under anesthesia, do a 1 time super intensity radioactive seeding for 7-12 minutes only (a form of brachytherapy ) Then it’s back home. 2 weeks later a follow up CT Scan and MRI Then, 2 weeks later-5 days of high intensity radiation then all done, then one month, 3 month, 6 month, 9 month, 12 month follow ups for now. Don’t sell your self or your family short-go to the research hospital and get the best care vs the convenient care. Hope this helps give someone an awareness that there are so many more options.

I had a Robotic Assisted Radical Prostatectomy last week on Oct 31st. Have an indwelling catheter. One incision of about 1.5 inches and it is below my belly button. I am 70 yrs old and in good physical shape. My Gleason score was 4+3=7. Cancer was contained in the prostate. My belly is a bit swollen but the catheter is the most annoying thing I am dealing with at this time. I am managing slight discomfort with Tylenol and Ibuprofen. Hope to have catheter removed this Friday.