@brucemobile
My urologist, R/Os and PCP do not focus on just the normal levels of PSA (below 4 considered normal) but the rising PSA levels over time.

My PSA was 3.75 but had been rising steadily over time. I had MRI showed suspicious areas. Biopsies came back with 3+4=7 Gleason Score. My Mayo R/Os asked to do a Decipher test. It came back low risk versus the intermediate risk of the biopsies. I also had a bone scan and PSMA (both negative).

Please if you are in doubt get a second opinion. Also did your urologist mentioned the Decipher test to you? If not asked for one. It will give a more precise diagnosis of the risk level of your prostate cancer. It will make a big difference in treatment options just like a PSMA will also do.

You will see many of us promoting Decipher tests as they are very valuable information. You mentioned surgery. Has your urologist mentioned radiation. There are so many different radiation treatments with great results. Where you mentioned hormone treatments? The Decipher test would really help (like it did for me) the need for hormone treatments.

Getting second opinions can be done by having your medical records sent to other medical facility. Mayo, Cleveland Clinic, John Hopkins, UFHPTI (if you are considering radiation). If you are interested in radiation may I suggest getting an information phamplet form UFHPTI. It is free and included two of the books (Walsh and another) included in the package which is free. There is no pressure to go with them but they also do second opinions.

I was diagnosed at Mayo Jacksonville but did a second opinion at UFHPTI per my PCP recommending me to get a second opinion. The diagnoses and treatment were the same at both insitututions. The only diference was that UFHPTI had proton radiation treatment versus Mayo Jacksonville only have proton.

Good luck! From my experience and that is what I am passing on consider asking for a Decipher test and if you are still in doubt about best treatments suggest a second opinion.