I agree with many of the comments above. The treatment you ultimately go with must align with your life expectations. After you move forward with your treatment decision, you must then live with the consequences and should embrace whatever comes your way. Looking back and second guessing your decision will only cause frustration and anger. For me, I was 56 when I was diagnosed with PC (Gleason 7-->4/3). As with most men, I did a lot research to ensure my ultimate treatment decision aligned with my life expectations going forward --> I wanted 30+ years of PC free life to love/support my wife & son, with the best possible understanding of the cancer that was currently in my body. For myself, sexual function was of minimal concern, control of urination was a higher want, and living a PC free life was of upmost concern (#1, #2, #3, ...). I went with a robotic radical prostatectomy at a center of excellence (Mayo-Rochester) and chose the best possible doctor at Mayo-Rochester. Results have been very good - Margins negative, PSA undetectable for over a year (crossing fingers this continues), full urination control, and complete erectile function. As we all know, cancer is tricky, and you never know if it will come back. However, having a radical prostatectomy that removed all known cancer from my body, I feel confident moving forward. For myself, I was unwilling to accept the risks associated with newer technologies that rely on imaging "tools" to identify and treat the cancer. The imaging technology we have is awesome, but is not 100% perfect. For myself, to bet my life on imperfect imaging technology was not an option. I am a big advocate of using the "tried & true" technology that has decades of application. Not to say other treatments are not as good or better, this is just my opinion, based on my personal research/conversations/etc...

Best of luck to all those battling prostate cancer.

Jim