(With somewhat similar numbers - PSA of 7.976, Gleason of 7(4+3), localized, 65y/o - I chose proton beam radiation that I had during April-May 2021) + 6 months of Eligard + SpaceOAR Vue.)
Urologists usually favor surgery (because they’re almost always surgeons); get referrals to a radiation oncologist and a medical oncologist.
Always get a PSMA PET scan. Also, ask them for a biomarker (genomic) test and a genetic (germline) test. Those results will all factor into your treatment decision.
You’ll always have options no matter what the outcome of all those tests. The doctors will provide you advice and recommendations, but the ultimate decision will be yours.
One of the understandings I had with my doctors was that quality-of-life and successful treatment were equal priority for me. That set the basis for us working together and agreeing on a treatment plan. In every decision, that “equal priority” was front and center.
The proton radiation treatments were relatively uneventful. Now 4 years later, PSA is remaining low (between 0.35-0.55). It’s as if nothing ever happened - just walked in a revolving door, got treated (28x), and walked out the door…..it’s practically back to the way it was before the prostate cancer journey started. (My wife later told me that if she hadn’t known I was undergoing radiation treatments, she wouldn’t have realized it from any change in me.)

Good luck with your decision.