I am 61 with no health issues, other than PC. I am scheduled to
have RP surgery in September. Larger lesion, 3+4, with lesion along prostate capsule.

In your case, I would not consider surgery, from all my research.

In your case, I would not do any treatment, unless information indicated cancer was progressing/changing.

Others have more experience than myself, but I would be looking at:

1. Check PSA every 6 months for the next few years. PSA will vary over time. Long-term trends mean more than single tests.

2. Two cores indicates you are likely in the earlier stages of PC.

3. As long as MRI and biopsy testing does not indicate possible extracapsular extension or possible PC outside of the prostate, delaying treatment likely makes sense.

4. I would not treat until information from tests indicates treatment is definitely best. At this time, some form of radiation would likely be best choice.

Best Wishes.