Hello, my husband was diagnosed last year and our situations are similar. My husband is 55yrs old, Gleason score (4+3) and PSA was 32 at diagnosis. We went to 3 doctors and was told that surgery was his best option and that preserved the possibility of radiation should we need it later. His PSA following surgery was 1.5 so he started Lupron and radiation. Side effects were somewhat mild and tolerable. It is a long journey so brace yourself for that. Take care of him but also yourself. As his wife and caregiver, a lot will be on you as well. Give yourself grace and take those moments to spoil yourself. It’ll be a rollercoaster ride. All the best.