Lots of comments here but I want to underscore that there is a radiation technique equivalent to surgical removal. It's ablative radiation, definitive, (not pinpoint) that destroys the prostate. I will be having it starting late October. Here at Duke they do this and it is inside an intensive ADT using both Orgovyx as well as Abiraterone and I am on them now. It's a ride, but the benefit is that I should be done in 6 mos. You might talk to your doctors about it.