I was also Pi-Rads 4, Gleason 7, Decipher 0.68. Once removed I was upgraded from stage II to stage III.

I have no incontinence - not even a single drop, I have no erectile dysfunction and am basically as I was two weeks ago (prior to surgery).

This is to say that positive outcomes are possible. I worked for months hammering my pelvic floor through exercise and kegels, dropped 25lb and gained back 10 in muscle. I started working the problem the instant I found out and between that and an excellent surgeon I'm on the other side of it relatively intact.

I let myself get into a deep gloom over my diagnosis but still worked it hard. Part of the reason is that forums like this, inherently, don't have a lot of great news - most guys sticking around have issues or are like you and have questions - few of the success stories stick around but I'm trying to be the guy that does so that the next poor guy that has to go through all of this at least can see that it's not all bad.

We are behind you!