Because you had one Gleason nine your Gleason score is 9. The other numbers don’t matter the highest number is what counts.

You should speak to a radiation oncologist to see what they have to say about your treatment and whether surgery would be better. Urologist are surgeons so speaking to an RO balances the information. With a Gleason nine other treatments are usually not available.

Are you working with a center of excellence? Going to one would allow you to have multiple doctors getting together and deciding what would be best. Because you have a Gleason nine you might want to get ahold of a Genito urinary oncologist to guide your treatment, they specialize in prostate cancer, unlike medical oncologist, who treat all different types of cancer.

Did they find cribriform or intraductal in your biopsy?