*sigh,
I know , it is always a shock, no matter what the gleason is or how small the lesion is - it is always unwelcome and scary thing to hear : (.

The only thing that helped me and my husband was to concentrate on "good" parts of the whole picture - it took time and practice for me but was somehow natural thing for my husband.

After initial shock looses a grip try to concentrate on the fact that you have VERY low gleason and in a single spot (other spots that are 6 really do not matter *hugs) , and that you caught it VERY early and have a great chance of eradicating it for good !

Treatment plan - yes, for very young patients RP is suggested almost always but you have time to make a final decision and to listen to many opinions. Some members here had 7 or even 9 "second opinions" so do not shy from going out of that network that you are already working with. You know your life and your body and your preferences the best and you will make your decision accordingly . The most important part - with that gleason you can choose ANY modality and have very good result. Yes - insist on Decipher ! It can help you make more informed decision and ask for PSMA also.

Wishing you the best of luck with whatever you decide and sending healing vibes : ))) ! You will beat this thing ! You caught it on time ; ) !!!