CJP63…First, I’m sorry to know we have another member of this club no one wants to belong to. The good news is that there is lots of support and knowledge (and opinions) here. Unfortunately, there is no simple answer to your question as it’s very personal and case specific. You need to provide the group some specifics about you - your health, stats, etc. In the meantime, I’ll offer my thoughts…

I was 66, in good health otherwise when diagnosed last Spring. I, like many here, spent months talking to anyone who had an opinion and reading all I could to help me reach my decision. I’d recommend Dr. Patrick Walsh’s book, Guide to Surviving Prostate Cancer, as a good starting point. Debate pros and cons with your urologist and anyone with personal experience (lots here, of course) to learn how they decided what was best for them. I had 3-3, 3-4, and 4-3 hot spots with no evidence of spread outside the prostate. It appeared I was fortunate to have caught the PCa early.

As I said last Summer, I’d be lying to say I was fully confident in my decision to have a Prostatectomy (September 14). I received encouragement here to have faith in my decision-making process, accept the path I’d chosen, and focus on being positive. All good advice!

Nothing but good news so far. My first two post-op PSAs were undetectable levels. 🥳

Whatever path you choose, find the best surgeon or radiologist team you can identify. Go to a “center of excellence” like Mayo if you can as experience matters. Side effects are just that….side effects, imo. I chose to focus on getting rid of the PCa as best I could, then addressing the side effects - they exist but are manageable. I have 4 grandkids so far and watching them grow up as long as I reasonably could was a priority.

Whatever you choose, brother, be positive and commit to “do the work” as you’ll have plenty to work on, as you’ll learn. Good luck to you!