There must be more than Gleason 6 in your biopsy. The question is, was there something else on your biopsy that made him think you needed surgery rather than active surveillance.

Or is it that the doctor figures you get your prostate removed and go back on testosterone and it’s unlikely you will have prostate cancer pop up. You realize that having surgery will probably Cause major erectile dysfunction problems. Make sure the doctor uses nerve sparing to try to limit it. Surgery can also cause incontinence, though it usually isn’t permanent,

Under normal conditions, you could stop your testosterone treatments and that would result in your being exactly the same as somebody like me who is on ADT. My testosterone has been below 20 for almost all of eight years and actually below five. That allows me to survive with prostate cancer. You can live this way at least you can still get an erection and you don’t have to go through the surgery.

I’m not sure what kind of doctor you are seeing but doing a prostatectomy for a 3+3 is no longer recommended for most situations. Are you working with a center of excellence? It might make sense to get a second opinion before committing to surgery. Why wouldn’t radiation be an option, You should speak to a radiation oncologist. A lot less stress if you get radiation,