I believe that if the cancer remains completely within the prostate, the usual course of action is a Radical Prostatectomy. When I was diagnosed at 72 and a half years old, before the Multi Parametric MRI and while awaiting the biopsy results, the Uro Surgeon was prepared for surgery and mentioned the possibility of a Robotic Surgery if the results were favorable. However, in my case, with a Gleason score of 4+4 and the MRI indicating local metastasis, he referred me to a Radio Onco. Therefore, I don't believe that only younger individuals opt for RP. Age certainly plays a role, but if one is generally healthy and the cancer is contained, RP may still be a very viable option.