u/Imaginary_Win_2094

I’ll make this short as possible. My dad is currently 71 and had a PSA of 35.9 about 2 years ago then the doctor put him on finasteride and it only dropped to about 18.9 so basically 38. Anyways biopsy was a 3+3 group 1 but with the rising and high PSA we did the ralp last week. We just got pathology back and it turns out it’s a 4+3 group 3, seminal vesicle invasion, multiple margins positive and he’s a pt3b. Since we’re only 10 days post op we still have some time before any other options can be done to my understanding. I’ve already made an appointment with Cleveland clinic (where he had the ralp) and Sloan Kettering to discuss further treatment. My question is we feel as if the benefits of early treatment (radiation +adt) outweighs the risks vs active surveillance of the PSA and are we correct on this? I know there’s not really a right answer here but we’re just at a loss for how to move forward