If you have SBRT, you should try to have MRIdian SBRT (or equivalent) because it has a much narrower beam that is less likely to damage close tissue. It also has the ability to stop if you move and start again when you’re back in the right position.

Your cancer does not appear to be aggressive, you can have either surgery or radiation or a few other types of treatments like Focal Therapy, NanoKnife, cryotherapy, HIFU,, TULSA-PRO, etc. might work for you check with doctors get a second opinion. You’ve got a very slow growing cancer.

From what you say, after surgery, you will probably have erectile dysfunction. Most people don’t have long-term incontinence, There’s a wide variety of issues. I had no incontinence problems after surgery, it is possible. I did have ED.

There are many ways to fix the erectile dysfunction problems. They have pumps and pills and injections, one of them will probably work for you..

If you have radiation, you will probably still be able to get an erection, At least for a while. The results are all over the place as usual. For myself, I started having incontinence problems about five years after having salvage radiation, I have found ways to keep it under control.

There’s a concern that 10 or 12 years after radiation other cancers could appear on other organs near the radiation. That’s another reason they like to use it when people are older.

It is not unusual for someone to need salvage radiation a few years after their surgery. Some doctors recommend just zapping any metastasis found with a PSMA pet scan, At the latest PCRI conference, they said that only 1/3 of recurrences are handled by salvage radiation.

Just some things to think about. Best of luck.