Thanks all for your thoughts and input. They have been very helpful in constructing my thought process and questions. My leaning today is RP. I think the aggressive nature that some of my findings exhibit mean that if I go the RT route I would have to include ADT. That seems like 2-3 years of those side effects. My thinking and hope is the RP removes it all before it has had a chance to spread even cellularly. The pathology report should help in guessing at that and of course surveillance will confirm. If it does reoccur I have RT and ADT to fallback upon. I have not yet had conversations with a radiologist but have two coming up this week so should be able glean more soon. One more meeting with a Northwestern Health doc this week also. One question I'd have is because of the aggressive characteristics would the surgeon also recommend RT and/or ADT after the surgery despite no evidence of spread on the PET scan. Thanks again, all. I am always open to more input. Stay strong and positive.