Mathew61: I had a 10.2 psa and grade group 2 and 3+4. Get backup opinions where you can . You will find variations. Ask for the Decipher test with your biopsy material. This will help you and the Dr's evaluate aggressiveness and give you another backup "opinion". I was given prostate removal or radiation as a choice. I chose radiation and narrowed it down to Proton or Mridian linac. I chose the MRIdian Viewray and insertion of spaceoar. 2mm margins with MRIdian vs 4-6 mm with proton and other types of radiation. That meant less radiation hitting healthy tissue and better quality of life. Urine restriction initially and no bowel issue. Also, MRI and radiation is built into the machine. This is the only one of its type in existence. MD Andersen, Cornell Weill and other centers of excellence have it. Good luck on Monday.