Weighing my father's localized prostate cancer treatment options

[Nora29]

My father, who is 68, was recently diagnosed with localized prostate cancer following a biopsy prompted by a rising PSA level. His urologist has presented several options, including active surveillance, radiation therapy, and radical prostatectomy, and our family is struggling to understand the long-term implications and quality-of-life trade-offs of each approach. For those who have navigated this decision with a loved one, what resources or questions helped you most in choosing a treatment path? How did you weigh factors like potential side effects such as incontinence or erectile dysfunction against the aggressiveness of the cancer, and what was your experience with second opinions or specialized cancer centers in providing clarity? We want to support him in making an informed choice without overwhelming him.