Our story. PSA 14, urologist scheduled an MRI, 6 weeks later. PIRAD 5 (highly likely cancer).
He scheduled a biopsy 4 weeks after that. Gleason score 8, grade 4 w/seminal invasion. Stage 3b, all Greek to us.
Urologist told us stage 1 cand onfined to the prostate (wrong!). Then we saw a local surgeon who told us nothing and referred us to Mayo Rochester. It is now 5 months since PSA 14.

Going to a Rochester consult was the first time we understood he had very high risk, etc. The docs there are absolutly A1!

We now know how to read and understand MRI and biopsy reports. My advice is to get as educated as possible. Google terms, etc on reports and trust only sights such as prostate cancer foundation, NIH, md Anderson, sloan ketting, Cleveland clinic, mayo, etc. Dont trust sponsored sites such as pharma, too bias.
We went with ADT, Zytiga and radiation therapy. All docs told us surgery will not cure because of seminal invasion, so why risk its side effects.
G
Best wishes to you.