I went for surgery with your exact thoughts. Seemed like the best option for work down the road. I had nerve sparring surgery at 68 otherwise healthy and sexually active. Cancer was contained in the prostate post op. I have had no other treatments. I have both ED and incontinence. Thats the fact of the surgery. You roll the dice. As everyone has said the experience of the surgeon etc. makes a difference but not a guarantee. You have options with ED. I tried the Viagra and Cialis no luck. The trimix injections work. You can also look into an implant. That was my next option. Incontinence has some options. I am looking into an AUS device. You could also try ProAct. ProAct can only be used with surgery not radiation. However, you could be one of thousands that have no issue. In any case, it is a hit to your manhood but you adjust hopefully cancer free.