From my own experience, I favor Option B with lymph node dissection. PSMA PET is not reliable IMO, nor is a biopsy result. No one really knows the full extent/Gleason until surgical path is done and you may have some aggressive nests unseen on biopsy.
Also, my surgeon only removed ONE lymph node on each side - you should do about six. I had recurrence 5 yrs later and I still think THAT was the reason.
One last thing…although no fan of catheters I would recommend 10 day minimum (mine was 14 days). Why rush the healing of the urethra when more complications could ensue? Just my 2 cents. Best,
Phil