I have no idea, I’m not a doctor. But it seems to me that for the # of positive cores, that radiation not an RP would be the choice. After all, why do thru the risks of an RP to then have to do radiation anyway?
As for one lesion, you need to wait for the biopsy and PSMA Pet scan. You may be in the lucky situation, where you don’t need to have an RP and risk incontinence, rectal issues, and ED. Just saying.
I’m getting prepped for my Proton Therapy with Gleason 8, localized with no Extra capular extension, and clean PSMA. I know the possibility of recurrence later but am willing to kick the can down the road. Personally I question any RP.