Hi hirejohn my situation is very similar to yours. I’m 67 years old and have been on active surveillance for 5 years. All previous biopsies had been 3+3=6 in 3-5 out of 14 samples usually around 10%. My last biopsies came back as 3+4=7 in 5 samples. So I sent my slides to John Hopkins for a second opinion. By the way it is a very easy process and my out of pocket was some where around $ 200.00. John Hopkins said all samples were 3+3=6. So that lead me to getting the decipher test which came back in the high range. And that’s what drives me crazy about this whole process. After weighing all my options I went with 28 sessions of IMRT which I finished on October 24 2024. I know we all can have different experiences but for me the bladder prep was the most challenging. I also changed my diet to high protein low gassy foods and kept up my exercising walking 5-6 miles daily. My side effects were pretty mild and by 2 weeks after treatment things were much better. Some people have strong opinions on what direction to take I don’t. This is a very personal battle and you are doing the right thing by asking questions and checking on others experiences. I wish you the very best. Hang in there.