I was diagnosed similarly in Dec 2025 with Gleason 7 ( 4+3 ). In my case, I did not want to have ADT in conjunction with radiation. Side effects from ADT did not sound good “ to me”. Opted for nerve sparing surgery in consultation and encouragement from my wife. This was accomplished by a brilliant and kind surgeon in Jan 2026. My recovery has been superior. Thanks God🙏🏽! Almost 100 percent continent straight away. ED has been a challenge with penile rehab filling the gap. VED and tadalafil and kegels daily keeps it healthy. Recently Trimix use has been a complete game changer . Sex life is excellent and intimacy back on track. Natural return of erectile function also making huge progress. I am confident will get 100 percent return when nerves fully heal. Oh, and almost forgot, last PSA <.004. Praising God 🙏🏽🔥!!!!
It’s a challenging decision which is different for each individual. Communicate with loved ones providers and God! Hope your outcomes are as good as mine!