My husband has T3a with focal tiny EPE , gleason 9 after surgery , Cribriform and IDC. He has no inherited mutations. He had surgery about 6 weeks ago and we immediately panicked about findings but had hard time making app. with MO and RT at our hospital. Urologist suggested waiting for PSA that he ordered for November (?!) but we insisted having PSA checked next week and succeeded getting that order. We talked with RO just the other day finally and he suggested that we wait to see that first PSA and than go forward from there. He was not opposed to adjuvant but thinks that it is better to wait for complete continence and healing of that area. At this point we can do just one step at the time and PSA being the first step. If it comes positive, he will order PSMA also. If non detectable than we can have short term ADT and RT but will have to weight pros and cons regarding continence, toxicity etc. At this point incontinence is really minor , about 25 ml in 24 hours - that is really minimal ( it is equivalent to 5 teaspoons ) but it would be nice to have it gone before RT.
Wishing you all the best and I wish I have better answers for you, we are still scrambling and have very little direction and have to research and make decisions on our own. It would be nice to hear from somebody who has a better team and perhaps even has treatment at hospital with "tumor board" and got very good plan and explanation about what is the best approach 😔.