I would greatly appreciate your opinion.

Old Salt

https://csn.cancer.org/discussion/comment/1719194#Comment_1719194

Not sure that's correct. AI says that the terms are often used interchangeably.

Old Salt

Not sure whether the staging is T2a or T2b. Or do you think that the perineural invasion raised the staging to T2b? I think it is also Grade Group 1. The positive loci were all on one side, I think this would make the case T2a.

See

Prostate Cancer Stages | Staging of Prostate Cancer | American Cancer Society

If you are T2a, the case would be considered low-risk

If the correct diagnosis is T2b, the case would be favorable intermediate risk

centralPA

https://csn.cancer.org/discussion/comment/1719378#Comment_1719378

I think the "more than half on one side" kicks it into T2b. I'm assuming that with 5 of 12 biopsy samples positive, all on the left side, that means 5 of 6 are positive on the left side. I could have misinterpreted it!

lighterwood67

Well, I had a RALP in March of 2018. Gleason 4+3=7. At this time my PSA is undetectable; I am continent; I can still be intimate with my wife (only if I can catch her and I am not too sure if she wants me to). Obviously, AS was not an option for me in my opinion. I chose surgery because I thought the radiation approach would tie me up for a while. I tried to keep Quality of Life in front of me and my wife. In my view, so far, I have been fortunate. Like a lot of the folks say on this site, find the best facilities and doctors you can and see what they say. And then make a decision. Also, remember, no decision is a decision in itself. Best of luck on your journey.