After talking to 2 surgeons and an oncologist, it seems they all promote what they do as the best treatment. I'm 3+4, .84 Decipher, PSA 5.6, intermediate risk. Surgeons say Surgery gives best LT outcome. Oncologist says why do you think their number one argument for surgery first is you can always do radiation later if it comes back.....just do radiation to start and cure it.

Spoiler alert, Dr. Grim who was a Brachytherapy specialist, says Brachytherapy is best long term. My first surgeon told me they don't do much seed radiation anymore.