Hey Shep,

Just throwing my 2 cents in here. As many have stated, the biopsy in combination with the completed MRI and decipher test will paint a clearer picture for you. I was diagnosed at 59 and just had my prostatectomy less than two weeks ago at 61. The worst part for me was trying to make a decision for treatment. I was completely stressed/overwhelmed and consumed with research.

I also had a PI-RADS 5 with a Gleeson score of 3+4. I was initially on AS but that changed obviously. I got 4 opinions before selecting surgery and am happy to say it was the right choice for me. The cancer was contained within my prostate even with the possibility of extra-capillary extension.

I had nerve sparing surgery due to getting one of the best Doctors in my area and my Lymph-nodes were clear. As many have stated here already, each one of our journeys with this lousy disease is different. Do your research, get multiple opinions with top Doctors, and stay connected with this group.

I truly hope you get all the answers and comfort you need going forward. best of luck to you.