I am going through the same journey with doctors in Boston. I will be 69 years old in a month, and have: GS 4+3 in 2 cores (left and lateral 8%, right target 25%) - GS 3+3 in 2 cores (left and medial 30%, left posterior lateral 30%), PSA 6.73 — Intermediate undesirable cancer. Options are surgery or radiation with 6 months of hormone treatments.

Have meet with doctors from Dana Farber Cancer Center and Mass General. Over and over I have been told either course of treatment will work with a 98% cure rate, but both have different side effects. Dana Farber has had a very good track record with Image Guided Radiation Therapy, and much lower side effects than the national average.

One has to make a choice as to which side effects you can or can't deal with. After weeks of research, I have found that side effects from radiation can be long term, and side effects from surgery are immediate, and most often they resolve in 3-6 months, sometimes it might take up to a year for complete urine control. At first I was leaning toward radiation, but now I am leaning towards surgery. I have had a PSMA test that showed only cancer in the prostate. Right now I will be asking about a Decipher test. A surgeon I spoke with yesterday once again said either treatment would work for me and spelled out the data on surgery. Last week I also met with my urologist that I have been seeing for eight years, and he recommended surgery, he said it was "predictable" and could not say the same for radiation. I have recorded every appointment with every specialist on my phone and I have been listening to the recordings now that about 7 weeks have passed since my biopsy. You would be surprised about the details you missed during an in person visit or a Zoom call. (My doctor said surgery cannot be done right away after a biopsy, as the prostate is inflamed from the procedure...at least 6-8 weeks are needed before taking next steps, and I was told not to rush, but to feel comfortable with the treatment choice). Good luck in your journey.