I had 3+4 and 4+3 Gleasons. I also had a PSMA scan which showed the cancer was confined to the Prostate. One of my doctors ( I gathered so much information my head began to swim.) stated that radiation after a Prostatectomy is viable, but surgery after radiation is not as good/viable due to the effects of radiation on one’s body. For this and my other data gathered, plus reading Dr Patrick Walsh’s book on Surviving Prostate Cancer, I opted for the RALP. I did Pelvic Floor PT prior to and after surgery, guided by a woman, at a Baylor, Scott & White clinic in Austin, who was educated and trained to help men with Prostate Cancer. I had ZERO continence issues, NONE! The pathologist who examined my removed prostate stated the gland contained a cancer that WOULD HAVE SURVIVED radiation. By the way, after reviewing my documents and my thoughts, I told my Urologist I wanted the surgery. He said that, if it were him with my numbers, he would have made the same choice. (What a relief!) So, whatever path you choose, I sincerely wish you all the best!