Hmm..

With that kind of PSA test results, I have two questions?

The first, have you had any type of imaging, if so, which one(s) and what were the results? That's important since surgery is generally a treatment decision when the clinical data indicates it is confined to the prostate gland. Here are some links that may help inform any discussion and decisons with your medical team - https://www.urotoday.com/video-lectures/nccn-prostate-cancer-guidelines-review/video/2365-nccn-guidelines-staging-evaluation-and-imaging-approaches-in-prostate-cancer-christopher-wallis-and-zachary-klaassen.html

You say the biopsy was mainly GS 6 and some 7s, were the sevens 3+4 or 4+3?

I would consider bringing on board a radiologist and oncologist to discuss treatment considerations. A 2nd opinion from another urologist my be something you want to consider. If your current urologist has an issue with either of those, well, consider finding one who does not have a fragile ego, the cancer resides in you, not him and the choice of treatment is both important to the desired outcome - the "cure," as well as your quality of life.

If you have not already, read the NCCN guidelines, they are a starting point for your discussion with your medical team - https://www.nccn.org/guidelines/guidelines-detail?category=1&id=1459

Another piece of the clinical data puzzle may be the PSADT and PSAV, not sure that two data points is sufficient to calculate using the various online calculators such as MSKCC - https://www.mskcc.org/nomograms/prostate

Kevin