You should, without any question whatsoever, get at least a few more opinions. Urologist, radiation oncologist, medical oncologist. I got 9 before I pulled the trigger.

The testing that your urologist sent your biopsy for is almost certainly Decipher, as the genetic test is a bit more involved than that and is taken outside of the biopsy. In my case it'll be about six months that I've waited to get in to see them because it's detailed and backlogged.

I was also told that I'd lose half my nerves, and I did not. They frankly don't know until they get in there. I am 54 and 7 weeks post-op, so we are very similar (feel free to message me privately if you want to talk about anything).

Your urologist isn't your surgeon? That's surprising. While I know some urologists specialize in things like penile therapy, it's unusual that the one planning your care isn't he one planning to perform the operation.