@climateguy the three big questions are:

1) what is your Gleason score?
2) is there a Cribriform pattern to the cancer?
3) have cancer cells escaped the prostate gland?

Answers to these plus considerations about you, your medical status any any other challenges, drive your individualized treatment options a decisions. You want o be comfortable with the doc(s) who present your options, and their thoughts about which might be best for You.

My Urologist referred me to a wonderful Medical Oncologist to discuss further. It's good to have multiple docs.