On the cribriform and ultraductal issue you can ask your attending doc outright. My guess is they would have said something if they saw any.

It seems to me that you may want to really consider getting the thing out ASAP.

Once it's in a pathologist's hands you'll get the real skinny. And now with Decipher they can use the tissue to come up with a good prognosis on aggressiveness etc. Further if they get in early enuff they can spare one or both of your erectile function nerve bundles.

The operation is quick and you're on your feet in a day or two. Bowel movements can be agony for awhile tho.

If you just go back and read the litany of all the rigormoreroll you've been thru to date in having it stalk you and w your family history, I'd just get it out.
Then you'll know how much
further or little treatment you'll need in the future.

If it's slipped out of the prostate capsul, you'll find that out. And that's not a death sentence. They can do a lot to cure even then.

But they have to first know and a prostatectomy in my opinion gives the most info..

Recall an adage constantly ringing in my ears as an Infantry 2nd Lieutenant going thru Infantry Officers Basic at Ft Benning enroute to Nam-

"Lieutenant-
Always bring me the bad news first.
Good news takes care of itself."

Has your doc talked to you about the possibility of a cure with a prostatectomy?

Good luck!!