You got some great recommendations. Get that decipher test. Discuss getting on ADT before surgery or radiation. Get genetic testing, Mayo will definitely do it for you, just ask.

1. Surgery is one way to resolve it, Radiation works just about the same as surgery long-term. Then there are the other non-radiation treatments like HIFU, cryotherapy, TULSA-PRO or more. You have many options.

2. As others have said, Seeing a radiation oncologist is essential. When you go to a surgeon, they recommend surgery. You want to have many more options to pick from, radiation is very successful and you will Probably not have ED after having radiation.

3. The genetic test is one thing you need to do. Getting on ADT Should stop your cancer from growing, they frequently want you to do it for a few months before radiation. There’s really nothing else in the character of your cancer, The Gleason score and decipher score tell you the most right now.

4. A Gleason nine is definitely aggressive, So you don’t want to wait long before doing something. ADT Is what almost all of us start using to keep the cancer under control.