Erections, continence, life expectancy. Pick a solution that works for you. I had HIFU at 57. Surgeon wanted to remove prostate, which normally does not cause continence issues until age 80, because it had a 86% survival rate for me (I also had markers & DNA tested). When pressed HIFU with active surveillance had a survival rate of 84% and could be repeated as necessary. You will lose erections and continence with surgery, the only question is when (60, 70, 80). I have a PSA test this week, and my first MRI after the HIFU. The HIFU took care of the Gleason 6 and Gleason 7 on one side of the prostate. I still have Gleaon 3+3 on the other side.