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I don't know Dr Bugg (so "world renowned" may be a bit of an overstatement), but the second opinion is a good idea and 75 miles is not exactly the ends of the earth!
You do really need to get a copy of the original pathology report, however. This will give you a lot of information that is currently "missing." You are entitled to a copy of this report and you need to "badger" the original urologist for a copy of this report.
It is important that you find out several things when you meet with the doctor today: (1) Was the Gleason score 3 + 4 = 7 or 4 + 3 = 7? There is a big difference. (2) Was there any sign of a tertiary Gleason grade 5? (3) What is his clinical stage? (It is probably T1c, but you need to be sure.) (4) How many biopsy cores were taken, and how many of those were positive? All of this information will be in the pathology report sent to the doctor, and you are entitled to a copy of this, so make sure you get one.
Don't let anyone rush your husband into a treatment decision. You have time to do your "homework" first.
Mike
Participants on this site need more information on your husband's condition to be helpful including PSA, Gleason score, physical condition etc. To get you started you may find my journal to be of interest: http://protondon.blogspot.com/
Don O.