Diagnosed at 44

"There is also encouraging responses on incontinence and ED too which it seems is down to location and severity of tumour.
If I understand correctly too, both treatments have a good success rate, but Brachytherapy has a higher 2nd cancer chance return rate and is harder to salvage treat."

Not quite. If the cancer is believed to be contained and nerve-sparing surgery is done, ED and incontinence are down to the skill of the surgeon, a bit of luck and the availabilityof post-op support in your NHS Trust. ED/incontinence due to location and severity only applies to men who have to have non nerve-sparing RP.
All other things being equal, brachy, RP and EBRT all have almost identical success rates for a man with a T1 / T2a / T2b tumour.
It is true that salvage treatment is more difficult after brachy or EBRT but choosing a treatment based on what happens if it fails is a flawed strategy. Statistically, if the primary treatment fails, there is only a 50% chance of salvage treatment being successful. It is better to choose the primary treatment that is least likely to fail in your case and then decide whether you can live with the known and potential side effects. If you can't, you look for the next best treatment that has side effects you are willing to risk.

Thank you. 
Hifu would be available over 100miles away and I would require frequent trips for consultations, tests etc before they accept me. 
Then was advised that it may or may not work and that they don’t know for how long or recurrence rate as of yet. 
I have to think of my daughter and wife on my decision and what they can cope with too. 
Uncertainty is not good for them

It's a horrible period and if you're anything like me, you'll change your mind about what's the best course of action multiple times! It does feel good when you make your decision though because at that point you have a lot more certainty and can start to prepare yourself for what's going to happen.

October 6th seems quite a long time to have to wait for a follow up? Maybe someone else will confirm if that's normal but my NHS referrals and follow ups were much quicker than that.

Just a thought, but have you actually spoken to an oncologist or just a consultant urologist?

Often the urologist will specialise only in surgery and wouldn't have anything to do with Brachy. Personally, I would want to talk to the specialist who would be doing the Brachy procedure about Brachy and not just the urologist.

I don't know how it works in your area but I identified an NHS oncologist who did Brachy in my area (there weren't many to be honest so they weren't hard to find!) and then asked for my GP to refer me.

I did the same for a second opinion from a different NHS urologist and got appointments with both of them within a few weeks of asking for the referral.

Personally, I found talking to the different specialists about their actual speciality, rather than being told about their speciality by the other specialist, really helpful.

Of course, you might have already spoken to both oncos and urologists in which case, reading this has been a waste of your time!

You're going to have to get used to that 'unknown' feeling. Whatever treatment you have, you will have followup PSA tests once every six months or so post treatment. I had one on Monday, results are due Friday. I don't get anxious, as I'm an optimist and assume all will be OK, but I do get eager to know the result.

Carl has already stated that he is on AS - that means that the hospital has no target time in which to offer him a follow up appointment for the purpose of agreeing and starting treatment. 6 monthly review is a perfectly normal timescale for a man on AS

I agree with other posts though, Carl - don't necessarily wait until October and then ask to see an oncologist only to discover that will be another 6 months' waiting. Your surgeon will have a bias towards surgery (and in your case, seems to have a bias towards not treating at all) so essential that you see an oncologist to discuss alternatives. 

Interesting, the way it goes is you usually discuss treatment options with the specialists. Surgeon and Oncologist. Plus I also had a very long discussion with the specialists nurse to talk through the different options. In fact the Nurse was present at all the meetings I had with the consultants. Finally I had a nurse designated to me who I could ring for advice.

Update today:

last PSA in May was 5.07 today it is 1.27, I haven’t had any treatment or anything. 
I am guessing this is a great sign that nothing is growing. 
I must say that I did not think it would go down that much though. 
Is this normal? 
I also have my Genetic consultation tomorrow as the consultant believes I may have the Braca gene. This will be an interesting discussion.