My urologist at Sibley Hopkins gave me the biopsy report of intermediate unfavorable and subsequent Decipher was 78 high risk. I'm older at 78 but he was strongly recommending radiation over surgery. So I did Proton Therapy at Hopkins which I completed a month ago. I also met several men there with prior RP who were there for salvage radiation. Happy with my decision but underscore that it's yours alone to make in consultation with your treatment team rather than any recommendations you might get in this thread or others about which is the better option. Good luck!