John T's comments are valid here (ok, don't read that to mean I'm sniping at them in other places, he knows his stuff).
I did surgery at a point where it was a tossup which way to go. One concern, having been involved in nuclear plant construction and startup in the early days, was cumulative radiation and long-term cancer risk from the lifetime total radiation.
The surgeon wanted to do surgery, and had good arguments, including the "real pathology" that can be done on the removed organ.
The various ROs offered poor to pitiful success percentages, and MD Anderson would not even see me for Proton. Seeds were out because of the extensive involvement (the hybrid seed/RT treatments were not out there at that time).
Also, I am at a strange point in age. My male line either died by 50 (I'm long past that), or live to their 90's. So I need to consider a longer possible life span.
But the worst was found during surgery (possible nerve-sparing turned into no nerves spared while on the table) and in the path, and yes, I had adjuvant RT. In the end, it also was a bust, and I'm alternating HT right now.
My "looking back" moment is to realize I could have found it sooner and done seeds, but that boat sailed years ago.
So make a decision, and go with it. Where you will wind up? Who knows.
As to not being rolled into treatment soon enough, you need at least 8 weeks after a biopsy for everything to heal (according to surgeons I've talked to) before subjecting the area to surgery or RT, regardless of which you pick.
Moderator - Prostate Cancer(Not a medical professional)
My adjuvant IGRT journey (2010) - www.healingwell.com/community/default.aspx?f=35&m=1756808
HT (Lupron) 6-mo injection 9/12 (next planned for 6/14);Prolia 6-mo inj 12/12, 06/13, 12/13