Like I said, my RP went great. I started doing Kegel exercises religiously up until my surgery. I had little pain, spent an overnight in the hospital, and then went home and wore a catheter for 9 days. It really wasn’t that bad. After the catheter was removed, I did Kegels every hour I was awake, and like I said no incontinence.(I am 71 and wasn’t worried about the impotence). As tough as it was to hear, I’m glad it was taken out after hearing the pathology report. My first PSA blood test came back undetectable, and I pray that continues. I’ve made some changes in my diet and continue to exercise everyday, as I have for the past 50 years. I know you’ll make the best decision for you. BTW, if you’re married keep your wife involved. You’ll be thankful you did.

I believe that if the cancer remains completely within the prostate, the usual course of action is a Radical Prostatectomy. When I was diagnosed at 72 and a half years old, before the Multi Parametric MRI and while awaiting the biopsy results, the Uro Surgeon was prepared for surgery and mentioned the possibility of a Robotic Surgery if the results were favorable. However, in my case, with a Gleason score of 4+4 and the MRI indicating local metastasis, he referred me to a Radio Onco. Therefore, I don't believe that only younger individuals opt for RP. Age certainly plays a role, but if one is generally healthy and the cancer is contained, RP may still be a very viable option.