Psa 7, gleason 8, 30cc prostate, 1cm spot, patient 68yr, no apparent metastities. is radical prostatectomy the best option, can you tell me?

Here are some ...: If he is resonably healthy, yes, radical prostatectomy will give him a better edge of long-term survival although possibly expecting instant negative impact to his erection and urine control. If his health status is marginal, other options of care such as radiation or cryotherapy will result in comparable outcome despite G-score at 8/10. So, consult Doc to balance medical necessity & possibility.