@intriagozz Consider asking your doctor who does the biopsy to submit your biopsy material for the Decipher test. It IS USED by doctors and has changed treatment decisions by doctors. It gives them, and you, a feel for aggressiveness and modes of treatment.

I decided on radiation with a specific radiation machine (the mridian) that has a built in MRI so the exposure of healthy tissue was less vs radiation with other machines that used fused images only and that, can expose more healthy tissue potentially impacting side effects. Fused images and their associated radiation machines, instead of real time image radiation treatment, usually require larger margins of radiation exposure around the prostate. With the Mridian or the Elekta, essentially what you see is what you treat. You can Google the Mirage randomized trial study that shows the impact of radiation machines with built in MRI vs those radiation machines that do not have it.

If you get radiation, you may want to consider a spacer gel i.e. spaceoar, bioprotect or biogel, to move your rectum further away from your prostate and reduce radiation exposure.

Having said that, you will read about all sorts of success stories with both radiation and prostate removal on this web site.