@seekingclarity
I (61 yo, 3+4=7) too was not sitting well with 2 different urologists recommending removal as best option, I sought an option from a oncology radiologist at Mayo. She would have gladly done SRBT if I wanted it. When talking to her team...the P.A. is male and if he were in my shoes, he would have had a R.P. . My decision came down to not waiting months to years to know if cancer free. I wanted to get rid of the cancer! In the Dr Walsh book, it talks about R.P. as being the gold standard for 100% cure. I had my robotic assisted radical prostatectomy last Wed. Pathology showed progression from 15% of sample as Gleason 4 in June to 70-80% 4s. in Dec When your time comes, RP is a great option that has advanced far beyond the earlier days.