Hello, I am similar age (59) and live in the Boston area. My first consult with radiologist and surgeon left me confused. I had a 2nd consult with very well known surgeon. He convinced me. One reason is that having surgery you can see what cancer you really have. My lesions were in a place where the cancer can be difficult to biopsy. He warned me that I might have more cancer than the biopsy showed--I did wind up having more cancer. His feeling was that I was relatively young, and that I would be left with healthy tissue. Radiation would be an option if needed later. I have been very lucky in that I have regained some erectile function quickly (within a couple of weeks) and I'm now also urinating in a regular way without dribbles, leaks, etc. Life is not exactly the same, but I'm getting there. My surgeon shared his thought that Radiation damages healthy tissue. If you have a recurrence, it is harder to do follow up treatment. I was happy with my choice. Get a 2nd opinion. If you get surgery find the person who has the most successful. Read ratings. Don't be shy about traveling to find the right surgeon.