I'm not a medical professional and I have no idea what's best for you. You asked for personal experiences so here's mine: I was 70 last year when I had NS RARP at Mayo Phoenix. I'm coming up on 13 months and I'm completely back to normal (never any incontinence) with 2 exceptions. First, without my enlarged prostate I urinate like I'm 30 years younger. I like that. I still have very mild ED, but I can have satisfying sex and frankly I was on sildenafil before the surgery so I wasn't starting from a pristine state. For me, I had a terrible family history of prostate/breast cancer and sure enough when they did the pathology on the prostate both cribriform and IDC were found. I also had a bad family history with radiation side effects. I'm the first to agree that anecdotal information isn't valuable, but when it's your own personal family experience it carries a little more weight. Also, I had access to an outstanding surgeon at an NCI recognized CCOE. I picked surgery and I'm glad I did. But if I hadn't had access to an excellent surgeon I don't know which option I would have chosen. Best wishes with whatever you decide is best for you.