I can understand the frustration but both me and my husband would be eternally grateful if we end up with your results - 16 years with no other issues but ED ! But, I guess once one is free of cancer one tends to redirect attention on other problems. I know that we will not, though. We wold be feeling blessed like no person on Earth if there is no BCR in 5 years, not to mention 16 ... *sigh

My diagnosis is intermediate unfavorable risk category due to my relatively high PSA. The guideline from the American Cancer society and others recommend definitive treatment in such cases unless one has other serious illnesses which are likely to kill the person before the prostate cancer. Given my good general health expected life expectancy, I am leaning towards definitive treatment instead of active surveillance as recommended by my urologist. But I have and continue to seek second and third opinions from different doctors and institutions to make sure I am making the best decision which as of now is surgery.

I was hoping for active surveillance, but the combination of my unfavorable intermediate risk NCCN category based on the pathology report, combined with a high genomic GPS score made it very risky not to seek definitive treatment now. If I had a very low GPS score (say, less than 20), I would have probably decided on active surveillance.