Kudos to your RO for giving you a detailed explanation. With your low to intermediate grade either surgery or radiation will give you the SAME outcomes….But - you MUST get a Decipher test to see if your cancer is the kind that could spread based on its aggressiveness. Really can’t proceed without this.
If low, radiation IMO is the way to go - probably MRI guided SBRT - (the lowest tissue toxicities available), since your chance of recurrence is much less.
However, if your Decipher is above .5 you “may” have a more aggressive type that could recur; in that case, surgery is probably the better option since you can have radiation down the road if necessary. The opposite - radiation and then surgery not so good.
Also, remember that your doctors - all of them - want to keep you “in network” meaning THEIR network cause that’s where the $$ goes. DO NOT hesitate to travel for better therapies outside your network or your local area. The difference between IMRT and MRI guided SBRT can be significant.
BTW, 150 robotic surgeries is NOT a number I would want my surgeon to have - more like 1500. In any event, get as much knowledge and info possible before you pull the trigger - to say later “but I didn’t know” doesn’t cut it in today’s information based world. All the info is there but you gotta use it! Best
Phil