In my case active surveillance is not an option because I also have a lesion currently in EPE1(extra prostatic extension) and definitely need treatment. Still leaning on NS RALP
pending consultation for R/O. My Urologist recommendation for prostatectomy still remains same

I totally agree .
ALL cases are different - that's why I recommend listening to the medical experts advice . I have an associate in Toronto, Gleason 3 + 4 = 7 , who has been on AS for 7 years . He just turned 60 and is reviewing his options for treatment while he is still fit and relatively ( except for the cancer ) healthy .
At this juncture , in consultations with his Tumor Board at the Princess Margaret Hospital , ranked in the top 5 centers of excellence in the world . He has decided to continue on AS with stricter monotoring .
Finally , as you are probably aware . It's not unusual for a Biopsy following a RP or death , to have a Gleason score uprated . It's for this reason I further highly recommend someone to have a 2nd or 3rd opinion of their Biopsy pathology results .
In my case my 1st Biopsy was negative . Not being satisfied as the results were in conflict with my MRI T2 PI- RADS 5 results . I had a 2nd 16 core Biopsy - the result 6 cores in the target area were Gleason 3 + 3 = 6 ( All 5 cores from my 1st biopsy in the target area were negative -- Go figure ) Once again being conflicted I had a 2nd opinion on my G6 pathology results .
This time they came back - All 6 cores Gleason 3 + 4 = 7 .
Now I have cores from the target area , following my Transperineal MRI Fusion Biopsy . Negative -- Gleason 6 and now Gleason 7 . Put them in a hat and draw one out .
As Patrick Walsh stressed in his book " Guide to Surviving Prostate Cancer " -- Never feel embarrassed about getting a 2nd or 3 rd opinion on not only your biopsy results but your recommended treatment options and final selection -- Your life may depend on it .