I'll echo--and add to--some of Saipan Paradise's reply comments. He nicely recapped the pertinent elements of your 3+4, pT3a, pN0 (PSM?) case so far, and highlighted that there is NOT
a one-size-fits-all ART vs. SRT advantage...an important point several other respondents to your original post seem to not be aware of, or simply forgot/ignored (either/both of which is troubling and should give readers pause).
I would not willfully ignore the real and consequential impacts of overtreatment... especially after your 9 years of AS, and it sounds like your urologist/surgeon is in-line with this thought process. My suggestion is to investigate and discuss with your caregiver--engage in a real "shared decision-making" discussion--the genomic classifier (GC) Decipher test (expensive, but usually covered by insurance) to gather more relevant information.
Here's a link to a nice article about
the Decipher written by HW/PC member Tall Allen for men in your specific situation
which will help to jump-start your investigation: LINKedit: typo
Post Edited (Blackjack) : 2/27/2019 2:29:33 PM (GMT-7)