Your biopsy report did not mention anything about Seminal vesicles, cribriform or intraductal?

Did you get a PSMA pet test? Was it clear?

Consider getting a decipher test. It will tell how likely you are to get future metastasis and cancer growth sooner.

Where are you being treated? Is it a center of excellence where multiple doctors review the decisions that are made about what’s best for you?

Have you gotten a second opinion? Have you gotten your heridatary DNA checked, It’s free in the USA at Prostatecancerpromise.org ? That can be a factor in what can be done in the future, and what makes more sense now.

I have had surgery and then radiation. I think both of them have long-term effects, incontinence is very common years after radiation, I am not sure about surgery. I know that some people have major incontinence problems after surgery but don’t know it’s long-term implications. You could read about some of them in this forum. Erectile dysfunction is very common, You want to ask the surgeon, if you decide on surgery, to spare the nerves, They usually can spare at least some of them, making a major difference in ED.