I'm 59, diagnosed 2 months ago due to slightly elevated PSA (5.3), had MRI, then biopsy, G3+4. I've decided to go with RP. I think the surgery is a bit tougher up front, but I feel like over the midterm (2 years or so) I'll feel better about surgery than radiation I did have a lot of positive cores, so doctor isn't thinking there will be much nerve sparing, which is obviously of concern. I am gonna speak to him once more before surgery.
Mark in Boston