Definitely get a third opinion. My particulars were different to yours, but my situation was similar in that my urosurgeon disagreed with my RO and MO. I got a third opinion at MSKCC, and felt confident going with the recommendation I got there, which was a tweak of the MO’s recommendation. I recently finished my therapy, and so far so good. Although my treatments have been local, my doc at MSKCC has also been following me, and I feel better knowing that if there is a recurrence, I already have a doc there who knows the whole history.