The pathologists stoped reporting G5 a few years ago because this type of Gleason was indolant and was just scaring people into treatments they didn't need. Uping it to a 3+3 with a poor rationality is a little suspect as is the doctor who ordered bone scans for a G5, low psa.
Your reasoning for getting treated at all is flawed. Let's look at the facts and not emotion.
1. 50% of men over 50 have exactly what you have; a small core of low grade PC that will never affect them.
2. Most G6s never progress into anything that will harm you in your lifetime. about
30% eventually progress.
3. All the data available from major hospitals such as Hopkins and many other studies indicate that if it shows progress (rapidly rising psa) then when treated the cure rate is exactly the same as if treated immediately.
4. The pathologist should never have reported a G5 as this grade was virtually discontinued years ago as being indolant.
5. Brachy has less side affects and is more effective than IMRT and is much less costly. For low grade PC has the exact same cure rate as all other treatments. The seeds become inert after a period of time and are no more dangerous than having a small piece of metal under your skin.
From what you have said it seems like the doctors you have spoken to see a cash flow or a way to improve their stats. Get a good doctor that is familiar with AS, Hopkins has a program, and see what he has to say. In all likleyhood you may never have to be treated during your life time and most certaintly won't die of this disease. With a good diet you can stop the progression. There are a few postors on this board that have worse stats than you who are doing well under AS.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.