caryg1955 I totally agree with hammer101's post. I followed a very similar thought process when I decided to have the NS RALP at 70 (5 weeks ago) at Mayo Phoenix. The only 2 things I'd add was my research lead me to believe that the results from surgery (assuming done at a cancer center of excellence by highly qualified surgeon which I did): first, the worst day after surgery is usually the day after surgery. Then every day after is generally better than the day before. Emotionally, this aspect of getting the bad news up front appealed to me. Second, if incontinent or ED, there are reasonably effective ways to deal with it and still have some quality of life. By "quality of life", I was focused on day to day things like sleeping well, enjoying food, being able to continue hiking with my wife, stuff like that. Radiation and/or ADT is much more of an unknown for impact on quality of life, especially if "worst case" happens. So far I'm glad I picked surgery; no incontinence and hopeful signs on the ED front. Time will tell. Of course, while I "think" surgery was the best option for me, it was a difficult choice and I wouldn't remotely suggest I know what's best for someone else. Rather, I just wanted to share my thought process.