Dave/Horace, I am 56 years old and had the same situation (Gleason Score 7 --> 4/3). Based on my situation (good health, wanting to minimize likelihood of reoccurrence, leave as many options open if PC comes back, etc.), I decided on a robotic assisted radical prostatectomy. My RP was done at Mayo-Rochester on November 3, 2022 (removed prostate, seminal vesicles, 6 lymph nodes). This is an invasive surgery, but it really is not a significant recovery. I would say the 1-week catheter and the referred shoulder pain (from gas used during surgery) were the most unpleasant parts of the recovery. Overall, the pain was manageable - My wife had me on rotating Ibuprofen and Acetaminophen every 6 hours. For the first week, very nice to have someone there for you. After the catheter comes out, I could handle everything if need be.
The longer term issues surrounding incontinence and erections are something each individual needs to make a decision on. However, my #1/#2/#3 priority was to get the Gleason Score 7 cancer out of my body. Based on my experience with the robotic assisted RP, I would highly recommend this direction.

Good luck with your decision and I pray all goes well!!