I fully understand your frustration. My prostate biopsy pre surgery showed a Gleason 8 and the PSMA pet scan showed no detectable disease outside the prostate. I went back and forth at Mayo in Phoenix on my treatment options and not one really helped guide me one way or another other than indicating that the cancer was within the prostate so I opted for RP. Biopsy from the surgery showed I have a Gleason 9 Grade 5 with spread outside the prostate. I now with I had done radiation first but this whole process is frustrating and inexact to say the least. Now I have to wait to heal from my surgery before someone can tell me, I guy that does not produce high levels of PSA even in the face of Prostate Cancer pre op what to do next. I wish the doctors would be willing to be more proactive and help me plan for my future or at lease be realistic with me on my options and potential outcome but no one wants to go outside their stated protocol.