You're correct, there is no "right" answer - you have to make the best, most-informed decision for your particular case and don't look back.

I'm 50, with Gleason 7 (3+4, 6/12 cores), Decipher 0.56, PSMA scan negative. After visiting several local surgeons and ROs, I was essentially in your position, so I went to MD Anderson hoping to gain some clarity. The RO and surgeon at MD Anderson thought radiation would worsen my existing urinary issues (frequency, weak stream). That helped me settle on RARP, but then I had to figure out where to go - ugh! In the end, I decided on the Cleveland Clinic based on discovering an insurance benefit that covers 100% of treatment/travel/lodging at CC for me and a travel companion. Overall, it's been about 5 months of agonizing decisions since my diagnosis but I'm comfortable with my decisions and ready for the surgery on 6/18.

Best of luck to you!