I saw your comment about testicle removal and I dont believe that is an option with any of the treatments. ADT as I understand sort of chemically castrates you but it will come back. Also as Jeff pointed out in either case, most everyone on here is following due to a problem. I opted for nerve sparring removal at a healthy 68. If I would have followed my oncologist advice I believe I would have been continent and no ED. The surgery and catheter are nothing to worry about. You have 3 small holes in your abdomen and the catheter is in for a week. They remove it in the Dr office. 2-3 weeks your wanting to do more than you should. They will remove the lymph glands and seminal vesicles. You will not have any fluid with an orgasm.