Just to be clear, you can get the genomic testing after a biopsy before any treatment, which can sometimes help decide which treatment, if any is appropriate.

Here's an interesting talk that another member posted on another thread. It's full of good info.
For my specific case (surgery and now monitoring psa) the key piece I took away is that with PMSA imaging, if the PCa reoccurs and radiation is chosen there's differing opinions on how and when to radiate (assuming radiation is selected). Long story short, if mine comes back I'm going to take enough time to get several expert opinions from CCOE's before deciding on how to treat the reoccurrence. Of course, hopefully it won't come back for either of us. Best wishes.

John, any drug has side effects, so please don’t be afraid of Orgovyx. It’s a drug that stops PCa in its tracks and could save your life.