You are a Gleason six. You really don’t want to do anything now. You could have them check your PSA every month, but that’s not normal with a Gleason six every three months is the standard, and if something comes up, it isn’t going to be horrible since you caught it early

Both radiation and surgery are worse than what you have now. If you don’t have hormone therapy after radiation, the cancer can come back sooner vs never. After surgery you usually can’t get an erection.

You need to find a user group where they discuss active surveillance. Some people stay on it for many many years without the cancer ever getting active. Check out Ancan.org for an active surveillance group that meets online. They’re not the only one there are others. Talking with other people and similar situations can relieve your anxiety.