Did your biopsy Mention if you had intraductal or cribriform. In that case if you do nothing you are not going to live long without serious issues. Dying of prostate cancer is extremely painful. My father had his teeth ground down and capped without Novacane. He came home and ate dinner with us after that. While he was dying, he was on so much morphine he really couldn’t talk to anybody..

Most people keep the ability to have an erection after radiation. SBRT radiation works for most people, MRIdian is even better. There are many other non-radiation treatments like HIFU, cryotherapy, TULSA-PRO or more that can allow you to keep your erection. Have you looked into all of them.

I’ve never heard of a person with 4+3 taking actor surveillance as a choice.