You have a direct genetic history of prostate cancer, thus you are at higher risk than most men. At age 57 I had no family history and no symptoms, yet my primary care doc suggested I be tested anyway. My PSA was in fact elevated. I got a biopsy and found my prostate was 80% cancerous. I got it surgically removed just in time. 10 years later I'm still cancer free.
Every day I five thanks that my doctor did NOT follow the standard medical advice back then NOT to test. Forewarned is forearmed.
surprised that it didn't escape prostate with that high load.
https://www.researchgate.net/publication/361217707_The_role_...
I've read very little about choosing radical prostatectomy very early after detection, but it's likely that it does little to improve survivability:
https://medicine.washu.edu/news/surgery-early-prostate-cance...
That said, if nerve-sparing surgery were done early instead of doing NON-nerve-sparing surgery later (a standard radical prostatectomy), perhaps that might diminish some of the typical side-effects of the standard surgery like impotence or incontinence. But I'm only speculating.