I chose surgery in August of 2022 at 60 years old I also was a Gleason 4 + 3. Learning that you have cancer is devastating but we are blessed to be living in an age where there are multiple treatments for it. I always tried to fall back on that when I was spiraling down with worry. I chose surgery as I was young (lol) and liked the idea of removing the cancer. I used the same surgeon who removed a third of my friend's kidney 15 years earlier for cancer. He had performed over 1500 RALPs by the time he did mine. I'm 6 ft 3 in and weighed 220 lbs. I decided to drop 20 lbs as I heard this improves your odds of having less complications, even though my surgeon said it wasn't necessary. It gave me some feeling of being in control of the situation though. You could also start performing kegels before your treatment decision. I started kegels after surgery. 7 weeks after surgery. Need time to heal. I can honestly say I never had any pain or incontinence issues after surgery. I was relieved to get the surgery over naturally after having all the pre-surgery tests to make sure it hadn't spread. I took a full 8 weeks off from work to heal mentally as well as physically. I have a job where it requires lifting so no hurry to rush back. I had nerve sparing surgery so everything feels the same. You'll get through this just fine like your kidney surgery.