I was 72 when I was diagnosed. I chose removal as I had an enlarged prostate causing urination problems. It did not get it all and had jumped to my lymph nodes. I then did 44 radiation treatments and two years of Lupron injections. This has held cancer at bay. I do not have any muscle or energy. I am in a constant state of fatigue, I have no libido. My private parts have all shrunk. My red blood cells are low and I am anemic, I am stage IV aggressive malignant neoplasm of prostate Gleason 4+3 = 7. Good luck with your decision.