I don’t understand why your urologist was so quick to want to remove the prostate. Removing it has life-long repercussions. Anything you do will have repercussions, so thoughtful research should be in order. If you haven’t had a PSMA Pet scan that is necessary! It tells you if any cancer has metastasized. Without that you can’t make a decision.

I thought you wrote Gleason 6 and later revised it? If 6, I’m with your oncologist who recommends AS. Even one of the commenters said her husband was on AS for 10 years. That’s 10 good years. And according to what I’ve read, his more recent diagnosis is probably an entirely different cancer that developed.