Sorry you've joined the club! I am now 29 months post Radical Prostatectomy and just like you I was Gleason 3+4. I took the time to self-advocate(ie the CEO of my journey) over a few months of meeting with various surgeons, specialists and talking to those who've been through the various procedures. I met with Dr Leonard Marks and his impressive team out at UCLA twice. BUT mostly I drilled down deep into the various studies and statistics to filter the noise within the medical community and come to a well-reasoned and quantifiable decision. Radical Prostatectomy offered the best statistical outcome to remain on this side of the dirt over the short and long term. At 28 months my PSA levels remain at zero and I am happy with my outcome. GOOD LUCK!