Hi, I am answering as a wife. My husband was diagnosed in 2020 with intermediate PC. As will everyone, we did mountains of research and spoke to numerous support groups and got 4 opinions from top notch MDs in Nor Cal.
Long story short; my husband went with the surgery. Best decision ever made. It had spread into Seminal Vesicles (which we never would known if Radiation had been chosen). I am a worrier by nature. We now know several men who chose Radiation and they see their PSA fluctuate on a regular basis which keeps them on pins and needles. We are blessed to have a clean PSA (i.e. < ,01) currently 4 years post surgery. I would not have been able to handle the fluctuation of seeing ANY PSA over time. If, God forbid, it ever returns, we know it has come back. With Radiation you never know and your option for surgery post Radiation is much more difficult.
Recovery time was minimal and husband is strong and healthy. Just a personal opinion; we thank God every day we did not go with Radiation. Best wishes as you process this decision. Dee