My second biopsy showed two cores of cancer, one 3+4. I decided on surgery, I just wanted the cancer gone. I was also told that if I decided on radiation, surgery may not be possible down the road. Surgery went fine; I am one of the fortunate 10% that had ZERO incontinence issues. (Lots of Kegels). No other big issues except some constipation which was alleviated with Senna. My pathology report came back as having that core at 4+5. I was even more relieved that I had it removed. I just passed the two year mark since my surgery and have had six PSA tests, all at < 0.01. Make sure you have all your questions answered and are sure of your “condition”. I hope this helps you. BTW, I am now 73 and in excellent physical condition. Best wishes