What was your Gleason score before your prostectomy? My dr said it is rare for it to get much higher upon doing the prostectomy biopsy from what it was before doing it. Assuming you do it within three months or so from biopsy.. He said if it’s a 3+4 , possibly 4+3’s but would be rare to go to all4”s or higher. I believe all options are equally effective and it’s really up to the individual to weigh out the after effects for their lifestyle and for the comfort level they feel is “enough” of a treatment for them. I do believe urologists suggest the removal more often because they truly believe in their field and oncologist radiologist suggest all the radiation treatments because they truly believe in their fields as well. So it comes down to the patient to decide what’s best for them. As someone else said, there are no wrong answers.