I was diagnosed last year (3+5=8) and presented with the same two treatments. I chose surgery without hesitation (I’m 59yo).

Unlike most people (I’m probably not quite wired the right way 😉), I had zero anxiety. Diagnosed in October, given treatment options in November, chose surgery in early December, had surgery in early January 2026. No regrets. None. Not a one.

Side effects, yes, the usuals (incontinence, ED, dry orgasm being the Big 3), and some discomfort for several days after surgery (hats off to @jeffmarc - I was off work for two weeks following surgery, then a week of half days, and a full month of no overnight/on-call work…and I should have taken more off, frankly), but all in all, fairly uneventful recovery minus some heart stuff that popped up (that probably would have come to light on its own eventually, anyway).

Once a decision is made, I like to put my head down and get on with it, no second-guessing (my wife and her family are complete opposites, which leads to some hilariously frustrating days at times). I put my energy to working toward making sure I’m doing everything I can to ensure the best outcome possible (doing kegels before surgery, smartening up on dietary recommendations post-surgery, etc).

Good luck on your surgery, and looking forward to reading about how you’re doing in the days and months ahead!