Hi John,
I remember having the same feelings as you are experiencing before my surgery. It is frightening.
However, it helped me to remind myself that I had cancer. No matter how slow moving or early the cancer may be, at our age the chance that we will have to do something about it is high. I think it is easier in that sense for young men. Most stats are quoted at 5 or 10 years, you and I may have 30 years or more of life expectancy left.
Also bear in mind that after surgery, many gleason scores are upgraded. I was upgraded from a 3/3 to a 3/4. Any gleason 4 cancer is dangerous.
You have the advantage over me that your psa is lower.
You do have to be relatively sure of your decision, but with this disease there are no black and white answers. At some point, you have to adopt the attitude of letting go. Make the decision and then go with it. The process will not be pleasant but it is absolutely endurable and there are good things coming after.
Only you can decide when you have reached that point. Control is an illusion with this disease. Control what you can and then make a decision and commit to it. Once you decide, your energies should go to executing on the decision and maximizing your chances for a full recovery.
Many men have preceded you. Heed their lesson that you are much stronger and resilient then you think!
All my best,
Retire