Reading your response to robertmizek where you mention your brother suffering incontinence, I totally understand being influenced by family history because when I mentioned my family history in my initial reply to you, it was because my brother was initially diagnosed about 25 years ago as early stage cancer. But later it was found the initial grading was wrong and the cancer was much farther along. So my family history inclined me to lean towards expecting the worst, so I was biased towards wanting surgery. After the surgery my prostate was found to contain both cribiform and IDC (having both is very not good), so I was glad I had chosen nerve-sparing RALP. Wherever you get your treatment done, ask the surgeon if you're a good candidate for surgery, if it'll be the nerve-sparing, and what kind of chances you'll have of incontinence or ED. When I asked that question, specifically for my case with him doing the surgery, the surgeon told me I was a good candidate for surgery and gave me some percentages of what I could expect (with of course no guarantees). I was pleasantly surprised that the numbers were higher than I would have expected. I'm now at 30 days since surgery and after catheter removal I was immediately (essentially) 100% continent and I actually had intercourse yesterday. It wasn't even close to my best, but I was pretty happy nonetheless. I'm really not trying to talk you into the surgery, but rather I am agreeing with robertmizek that I believe nerve-sparing RALP in a cancer center of excellence today isn't what guys generally had available to them 15 years ago. Try to get numbers that reflect your specific situation so you have all the best data when making your decision. Best wishes!