Always good to evaluate all the options with prostate cancer. one treatment definitely does not meet the needs of all men. As a person ages into later years, I would personally would look more closely at non-invasive treatments. However, for myself (55 at time of diagnosis, now 57, excellent health, GS 4/3) I evaluated all the options and the treatment that best aligned with my main goal (30+ years of PC free life to live with wife, child, family, friends, etc.) was a robotically assisted radical prostatectomy at a center of excellence, with the best surgeon I could find (Mayo-Rochester and doctor Igor Frank).

Anyone that has journeyed down the prostate cancer path will tell you - No matter what treatment plan you decide on, cancer is tricky and there are no guarantees the cancer is gone forever. However, surgery was the only option that allowed for a physical pathology to be performed, a guarantee that there is no undetected cancer left in the prostate or seminal vesicles (they are now out of your body), and allowed for all other treatment options to be utilized if the PC returned.

There are risks with all treatment plans, and surgery definitely has risks - Incontinence, impotence/ED, infection. However, you can significantly reduce the chance of these risks (not eliminate) if you do your homework and utilize the best possible surgeon at a center of excellence. It is sad to see so many men who are unwilling to put in the upfront work, get a radical prostatectomy at a local low volume hospital, then spend the rest of their lives regretting their decision or complaining about unexpected consequences. If you decide on surgery, please please please do you homework and pick a center of excellence and the best doctor at that center of excellence. In most cases, you have the time to do the upfront homework and ensure you get the best possible treatment.

Best of luck to all,

Jim