The results of your biopsy do not confirm what your doctor wants to do. You were working with a urologist it sounds like. Urologist do surgery, That is their answer to prostate cancer.

Someone with a Gleason six, and only two cores out of 10, would normally be put on active surveillance, not surgery. Yes, the decipher score shows you have a medium chance of something happening, But you could be on active surveillance for years before something actually happens. There’s been a lot of meetings lately where doctors discuss being over treated when someone has a Gleason six.

You should get a second opinion from a center of excellence or a Genito urinary oncologist, The ones that specialize in prostate cancer. Yes, at age 56 surgery may be a better option, but active surveillance may be an even better option for you.

Here is a video with Dr. Laurence Klotz, one of the experts on active surveillance. He can give you answers as to why you would or would not be a good candidate for active surveillance.