I just turned 70 last October, at my annual physical & blood tests, my PSA had jumped from 4.47 6 months earlier to 6.62 so my Primary Care Doc referred me to Urologist who ordered MRI and 4K score test. Multi parametric MRI showed 12mm lesion and PIRADS 4, the blood test marker 4K score was maximum at 95 I am scheduled in a week at Mayo for Fusion perineal needle biopsy. Prostate size was 50 cc and I've had BPH symptoms for last 4-5 years, also ED for the last 10 years, but Viagra worked until the last 6 months, now take 2 blue pills and it's barely enough. I found out that 5mg Cialis actually is prescribed for BPH & ED been on a week, it has definitely helped the BPH, haven't tried for ED but just doesn't seem powerful enough. I too quit drinking 2 years ago, no drugs, not even a cigar, so I know the feeling about giving up all the things we love. I have been overweight for 20 years and it is contributing to my ED, as well as a factor in PCa, so now will have to give up enjoyable food. I told the Urologist at Mayo, I'm not interested in surgery or radical radiation that has a chance of taking away what little potency I have left. The bible say we should live to 3 score & 10 so 70 years old, I have got my time in. Hopefully the biopsy will be 3+3=6 Gleason so Active surveillance will be the plan. My Dad had PC and RP at 64 back in 1984 left him impotent for the rest of his life, the PC had escaped during surgery, but with drugs from Mayo, he lived to age 90 when it finally went into the bone. He lost his wife ( my Mom) at 82, he was always in a good mood, played golf until 87, so there is life after sex.