I have not read all the comments so my question may have been addressed earlier. Did you mri and biopsy show that the cancer is contained within the prostate or is there extraprostatic extention? This could be a factor in your treatment choice. If there is extraprostatic extension I would definitely have a psma pet scan before making a choice. I was 4+3=7 with very minor extraprostatic extension and chose RP. My six week post psa test was higher than before surgery. PSMA pet showed my entire pelvic bowl was clear but it had jumped to my abdominal and chest lymph nodes. I probably would have made a difference choice if I had this info prior. Knowledge is power.