Similar situation trying to figure out what to do. I was 3 + 4 Gleason but it turned into 4 + 3 by the time I acted. I actually went a little over a year before making the real decision. Went to Mayo to talk about some of the newer treatments and trials but didn't work out for me so that put the decision back to radiation or Surgery. I opted for surgery at 66 for 2 reasons that the radiation can cause complications in later years, and radiation can screw things up if you do want to do surgery at a later date. Some of that decision has to do with what age you are and life longevity after the procedure............Just had my 3 month PSA and it is now undetectable, down from over 10, so hopefully it stays there. Yes the incontinence can be a pain but it is mild now at 3 1/2 months. Don't know yet about the ED. Hopefully goes away eventually. Remains to be seen. The Dr just prescribed viagra but haven't tried it yet.