Decipher test so that you and your doctor know the aggressiveness of the cancer, which guides you to treatment options and urgency. Scan (ideally PSMA PET scan) to help determine if cancer is confined to the prostate capsule, which guides you to treatment options. Radiation oncologist to understand non surgical option. If you choose surgery, have performed at a Prostate Cancer Center of Excellence by a surgeon with at least 1K surgeries, because the skill of the surgeon can affect continence and ED outcomes, all other factors being equal. Your fitness and pelvic floor muscle tone is also a consideration when considering surgery (continence). If you choose radiation, as others advised, choose narrow margin machines for which many in this forum can provide you with specific details. For you initial treatment, even if you have to travel farther than you prefer, getting the right expertise can lead to better outcomes. There are books and online resources that we can recommend so that you know the right questions to ask during your next appointment.