Hi . It is great to hear that the scan showed no spread. Hope the meeting with the urologist went well. Yes, the first number in the Gleason score is the primary/more prevalent cancer found, so a 4+3 is higher risk. That said, a Gleason 7, even with the 4 as most prominent, is considered slower growing. A seven, combined with a clean scan, opens up a lot of treatment options. Please feel free to keep us posted on how thing are going and to ask questions. Best, Richard (ProstateCancer.net Team)