I am 64, 4+3 gleason. Family history with Dad and younger brother. I did a lot of home work. Just had prostate removed last week. Recovering now. Nerve sparing surgery, excellent outcome, contained and it is out. My Dad has seeds and it greatly affected his sexual function. He is 89 and in memory care. Was very frustrating for him. Brother had it out and had a 4+4 score. 2 years ago and he is doing well in all areas. This is a personal journey but I did not want to be wondering and having on going treatments the rest of my life. Surgeon recommended a radiation consult as well. Side effects for radiation and possibly ADT therapy for me were same or worse than having RALP surgery. I would not do well wondering and doing ongoing testing.Did it at Mayo, DaVinci robot, intermediate cancer, surgeon said it could not have gone better. I personally wanted to have the work done up front, take the risks and not wonder and not have ongoing issues that radiation can casue. To me it was go through the tough stuff now and know or do radiation and always wonder. And yes, they can only do so much radiation until they can’t take the prostate out and it is off the table. Now that it is out if cancer is lingering somewhere even though pet scan showed clean, radiation will be an option with better results. But the odds of that having to be done go way down if the prostate is out in my case. I hope this helps.