@irishpat70, I can totally understand your and your husband's concern about having to choose treatment. Shouldn't the doctors know what's best? Sometimes I think that the question is put incorrectly to patients - men correct me if I'm wrong. The doctors are giving you the best treatment options right for your husband. No matter which treatment you choose, they are all good and effective treatments specific for your husband's cancer and health status.
Your choice is about the potential side effects of treatment. All treatments (surgery, radiation, hormonal therapy, etc.) have potential side effects. The side effects will vary from person to person, but there are typical side effects for each treatment. Depending on your husband's lifestyle and preferences, he (and you) may be more willing to live with some side effects over others. It's not easy to choose between incontinence, lack of sex desire, hot flashes, etc. But different people find some harder to imagine living with than others.
So, consider not only the treatments, but their associated side effects to help guide your research, the questions you'd like to ask members here and your husband's cancer team, and decisions you and your husband make.
Have you and your husband talked about the side effects?
I also had the decipher genomic test, which said 9.9% chance of dying in 10 years, 13% chance of metastasis in 5 years, but a 32% chance it could be worse and received a low high risk total score. My cancer was all on the right side with no spreading indication after two MRIs. Other information very thorough particularly getting as much information as you can.