I 100% agree, surgery provided me with peace of mind going forward. I was unwilling to gamble the rest of my life on imperfect imaging devices. I wanted the prostate and seminal vesicles removed so that a physical biopsy could be performed to define margins. If you do your upfront homework and pick a center of excellence for the surgery, the radical prostatectomy is not a bad surgery. For me, I chose Mayo-Rochester and Dr. Igor Frank - What an amazing hospital and doctor/staff. I did all of the pre surgery work and followed the post surgery recommendations for Kegels, etc... There were no side effects with continence or erectile function. I do realize that everyone is unique, so outcomes do very (age, weight, health, ...), but by doing your homework and choosing the best possible surgical center/doctor, you can minimize potential negative consequences.

I believe there is not one treatment that fits all - Everyone is unique and has unique expectations and goals, thus he should to pick a treatment plan that fits his life goals.

Good luck and I pray that all of you have good outcomes from whatever treatment is chosen.

Jim