Gleason 6 (3+3) initially with PSA of 6 at age 60. Decipher of .26, which is low/very low risk. Decided to go with AS. One year later, Gleason 7 (3+4) with a new lesion and possible extracapsular spread per biopsy, PSA still 6. Had RALP. Pathology showed cribriform glands and a positive surgical margin. Appears that there was no spread so far. No real incontinence, just a few drops with exertion. Too soon to know about ED. But risk of recurrence is now double because of the positive surgical margin. Glad to have it gone, at least for now. Surgery and catheter were far easier than anticipated. Hindsight is 20/20 so I wish I had RALP when diagnosed. Now the road is likely harder. If you go with RALP, find a very high volume surgeon. Good luck to you on this journey.