@ctsenior Yeah, from what I hear, it's seems like it's 90 percent of RALP men end up limp. And, yes, I have been a bit obsessed about that. Thanks for the advice...good to have options for sure.

I'm 63, but I think of myself still as young. I know others look at my gray beard and probably think otherwise. I almost think Focal would be great for old men too...because if you want to kick the can down the road a bit and then do the heavy recurrence treatments, you still can.

If you're old, you probably aren't a candidate for surgery, so Focal might be great and then follow with radiation/ADT when it comes back.

Based on the info shared by @jeffmarc (thank you again!) from the UCSF Prostate conference on this Friday; UCSF finds on recurrence with focal was really staggering. "Overall focal therapy is associated with minor side effects, but high rates of recurrence both in- and out-of-field."

This bullet point from the presentation really seemed like a shocker....the UCSF Result for their first 135 HIFU patients was: "• 54% recurrence (41% in-field)."

Recurrence is higher than 50 percent, so that means you will have to follow with surgery/radiation/ADT or whatever choice you have. So, I'm guessing it does buy you time, but perhaps spread becomes worse. I don't know.

I really do appreciate that reality check. Yeah, dick at half or no mast, coming up. Sucks. But as a long-time buddy of mine told me this week who has complete ED but is cancer free after eight years , his decision was to chose life over cancer Hoping to do the same...