I still think you have a lot of options. The decipher score & "Perineural invasion is present" are the only things concerning. Just my opinion but I would not have surgery to remove prostate. 40-50% of men who have prostate removed end up needing radiation anyway at some point. There are so many options available for someone with your stats. Take your time and don't rush or get pushed into a treatment you will regret later. Prostate is typically a slow moving cancer so no need to rush!
I would get 2nd & 3rd opinions from "prostate specialist" usually found at univ hospitals, cancer centers of excellence like Mayo clinic, John Hopkins, UCLA, Sloane Kettering NYC, Univ of Penn, Fox Chase, etc. You can also get consultations from doctors with video conferences. Medicare will pay for video consultations. Best of luck