I was 62 and chose surgery in Oct 2025 for the similar reasons others have detailed. Had high gleason and cribriform. Went through the necessary test cycle: MRI, fusion biopsy, PMSA PET scan - and then RARP after much research and discussions. Going through the follow-on issues that I expected- incontinence and ED, but steadily improving. Your approach will be based on your research and discussions and may result in a different choice then some of us made, but the choice is yours. While the paths might be different, we all choose what is right for us, hope for improvement, and work through the issues if they arise. Best to you and yours.