A young person should not consider a prostatectomy, unless there are a number of mitigating issues. Radiation these days works great for most people who have prostate cancer if it has not spread.

Most people who have surgery have erection issues. Many have problems with incontinence.

You make it seem like surgery is so simple and it’s just the opposite.

People who have radiation seldom have erection issues, just the opposite of surgery. I know more than one person that had nerve sparing surgery and were still unable to get an erection. One guy I know who was an obstetrician, traveled across country to go to a highly regarded nerve sparing specialist only to find he couldn’t get an erection after surgery.

People who have radiation seldom have incontinence problems, at least not until many years after the radiation.