Prostatectomy is not an option. I finish this week with radiation therapy. My preference would have been proton beam. However, the closest proton beam for me is in Loma Linda and in San Diego, California. I suggest that you read books by Dr. Mark Stohs:
Invasion of the Prostate Snatchers
The Key to Prostate Cancer

His Prostate Cancer Research Institute (PCRI) has a free Helpline and Support Groups. He continues to post videos at YouTube.

While going to radiation therapy, I have met radiation patients who have had a prostatectomy. One patient had the prostatectomy in June 2025. The surgeon’s explanation was that the prostate must have spilled some prostate cancer cells during surgery. This patient must now do 38 days (fractions) of radiation therapy.

A second patient had a worse experience with prostatectomy. The cancer metastasized up to his cheeks. He is facing 38 days of radiation therapy plus Orgovyx. If the cancer in the cheeks does not disappear because of ADT, then he will need an additional 24 days of radiotherapy.

Simply search for the probability of cancer returning following prostatectomy. You will discover that the probabilities are at least 20% to 40%, depending on your Gleason score.