Hello - thanks for sharing. When I opened the discussion of my "options" after receiving my 3+4=7 Gleason score (3 cores negative/normal, 3 cores "6", and 6 cores 3+4 with only 10% being "4"), I asked about Active Surveillance, Radiation, and Surgery. My Urologist said that if you do radiation first, you can never have a successful radical prostatectomy afterward. "The radiation therapy turns your prostate to concrete" he said. He was directive...adamant...saying: "I'm taking your prostate". I got the clear message that I had no choice. He also said/asked: "why would you want to wait two years with active surveillance, only to give your cancer two years to advance in staging and spreading beyond your prostate?" I understood that immediately. It sounds like active surveillance is suited only for people with 3+3=6 Gleason score...the lowest you can have. So, I had my single incision DaVinci Robotic Assisted Radical Prostatectomy on 4/18/25. Lots of frustrating, exasperating post-op consequences...mostly the urinary incontinence and a complete change in bowel habits. Because I fell into the unlucky 10-20% that have "surgical margins" (he didn't get "all" of the cancer...left some behind), I need to have a discussion of having radiation anyway, to have a focus kill of the remaining tissue. Good luck, but I would stay away from radiation as your first choice option.