Based upon your comments, I understand that you have chosen surgery and are now having the usual understandable second thoughts.

My input is that the quality of the treatment is important. Once you have chosen surgery, a patient needs to ensure that you are getting the best possible surgeon operating at a prostate cancer center of excellence with a documented history of 1K+ prostatectomies resulting in a high percentage of continence (>90% within 6 months) and sexual function (comparable to pre-surgery within 18 months, assuming nerve sparing).

If you have chosen a prostatectomy expert, I recommend accepting that the pre-surgery apprehension is normal and focusing on actions you can control, such as pelvic floor muscle training and getting educated as best as possible on actions to be taken post-surgery.

If a surgeon with this expertise is not available, many patients choose radiation therapy from a prostate cancer center of excellence, performed by a team with demonstrated expertise using recent-generation equipment that minimizes damage to healthy tissue. As others in this forum have often described, newer generation proton therapy and MRT guided photon therapy provided by an expert team have history of effective prostate cancer treatment with a high percentage of minimal continence and sexual function side effects.