@stanshintaku
I can see other poster providing information to you.

You are going to Mayo Rochester what in my opinion is best medical clinic out there. I go to Mayo Jacksonville.

Asked the question on your list to the specialist at Mayo. They have the medical expertise to be able to anser you by medical experts. The available treatment options continue to change over the years and even some new ones since I was diagnosed in January of 2023.

You have already had an important test the PSMA. Asked Mayo about Decipher test. I did not know about it until my Mayo R/O mentioned to me after my diagnosis. It is a genetic test that uses the same biopsies taken already to determine a more precise aggressiveness of your cancer.

My initial Gleason Score indicated I was intermediate risk level. The Decipher test came back at low risk. This changed my treatment recommendations (from two different medical facilities) to radiation only versus radiation and hormone treatments. I and many others mentioned it from personal expereince and something you should asked your urologist, surgeon, R/O about if you have not had it.