Welcome to our unlucky club of guys with PC. I'm not a medical professional, and nor do I have any special expertise, and I certainly don't know which treatment option will be best for you. That said, I'm 70 and in otherwise good health when I was diagnosed 3/30/24 with 3+4=7. My best piece of advice is to go to a recognized "cancer center of excellence", which with Mayo clinic you're already doing that. Also, I'd strongly recommend the latest edition of Dr. Patrick Walsh's Guide to Surviving Prostate Cancer Paperback – (last I looked October 3, 2023 was the latest edition). It's on Amazon and it's the best $20 I ever spent. It really helped educate me on some key points in my decision making. At this point, probably the biggest thing is educating yourself. Whatever treatment option you choose, things may not work out as you hoped. So being at peace with your decision will really be integral to your peace of mind going forward. That said, another key piece of information will be how aggressive your cancer is and how widespread in the prostate. The results of a decipher test for aggressiveness coupled with the fusion MRI biopsy results giving an indication of how dispersed your PC is should help guide you to what's most likely to be the most effective treatment. In my case, for a variety of reasons my wife and I felt NS RALP surgery was the best option for me and that's what I did in late June 2024 at Mayo Phoenix. So far the results have exceeded my expectations as the recovery has been remarkably low pain and quicker than I imagined. Also, the pathology of the prostate found both Cribiform and IDC (not good) so I was glad I went with surgery. As you research which treatment is best for you, be sure to ask your potential providers specifically about incontinence, ED, cancer reoccurrence, long term survival, and other major aspects/side effects of the major treatment options you'll be considering. When I did that I was surprised that for my specific case with
NS RALP the numbers for not having incontinence and ED were more favorable that I thought they would be. Long term survival and quality of life were also factors high on my list. Best wishes on educating yourself and figuring out which treatment option will be best for you.