I was 70 last year when I had NS RARP. I was 3+4=7 T2c with a very bad family history. The pathology of the prostate after surgery revealed cribriform and IDC, so I was pretty glad I had surgery. No incontinence and mild ED which is very slowly getting better. For you I have no idea what would be best. Here's some thoughts to consider: 1) get a decimeter test (or something similar) to see how aggressive your cancer is as that information will probably influence your treatment options, 2) get a 2nd reading on the biopsy tissue sample to see if they concur that 3+4=7 was really found as that also will influence treatment options 3) consider getting a 2nd opinion from an NCI recognized Cancer Center of Excellence (CCOE). If an option for you, consider getting treatment at a CCOE. I'm not a medical professional and I certainly don't know, but personally I consider the skill of the team treating prostate cancer is probably more important than the treatment chosen. 4) Buy Dr. Patrick Walsh's Guide to Surviving Prostate Cancer Paperback – October 3, 2023. It's on Amazon and it's about $20. It really helped educate me on some key points in my decision making and it's organized so you can easily dive into the sections most relevant to your situation. Just my 2 cents. Best wishes.