@johnnyz -- I leaned toward surgery for a variety of family and personal preference reasons that I wouldn't try to justify since they weren't based on scientific data, but rather emotional and family bias/preferences. That said, one aspect of surgery I did like was I believed (and still do) that a prostectomy is a very difficult surgery and that the skill and experience level of the surgeon (while not a guarantee) is very crucial to improving the odds of getting the best possible outcome. I was on original medicare so I had the opportunity to "shop for a surgeon", which helped me feel I had a little control in determining my outcome. To that end I made an effort to try to find the best surgeon available to me, and then I asked him what he thought my specific chances for incontinence and ED were, and whether he'd be able to spare my nerves. I ended up traveling out of town for my surgery, but I think it was worth the cost and effort. The surgeon I found told me at 1 year I had a 90% chance of being continent and 70% of not having ED. He also told me he was very confident he'd be able to spare my nerves, based on the biopsy and MRI test results. After surgery he told me everything went exactly as planned and he was able to spare my nerves. I was never incontinent (other than the normal accidents figuring out the new normal) and at 15 months my ED was gone and I was fully back to normal. I think getting an experienced and successful surgeon, while certainly not a guarantee, is worth the effort if that's an option available to you. However, I'm not a medical professional and this is just my layman's comment. Best wishes.