I have same Gleason score as you. I’m 59. My urologist here in SF is recommending prostatectomy also. Got a second opinion from Dr. Humphrey at Mayo in Scottsdale and he concurred. Have two more appointments one with oncologist and another with a HIFU specialist (high intensity focused ultrasound). I’ll decide by end of month. Hope all goes well for you. For me it’s been helpful just participating in communities like this for support. It’s not fun to get this diagnosis but I keep telling myself it’s better than the alternative.