I’m sad for your diagnosis. You will learn much here, from others’ experiences.

Do your own research, from reputable sites like Mayo Clinic and Johns Hopkins. I printed articles and saved them in a notebook.

Order Dr Patrick Walsh’s book on Surviving Prostate Cancer (Amazon) and read the “highlights” at the beginning of each chapter. Then read thoroughly those chapters pertaining to you.

I received a 3-month Lupron injection to stop the cancer growth. Then I started having Hot Flashes, and still have them 6 months later. I found an article about Venlafaxine reducing the hot flashes for a 72-yo man (I am 72.) and showed it to my PCP and he wrote a script for me.

I had Gleason scores 4+3 (several) and lower. I ultimately chose RALP, but did 4-6 weeks of Pelvic Floor Physical Therapy finishing less than a week before the surgery (Dr Aaron Laviana at University of Texas-Dell Hospital).

At PT I was told to buy and use Depends Diapers, Guards and Shields for incontinence, in that sequence. After surgery, I wore the Diapers for three weeks and had only “spotting.” I skipped the Guards completely and used the Shields for 3-4 weeks, just in case. I had NO incontinence; I was the master of my bladder! That PT before the surgery was the best thing ever.

I chose surgery because: Having radiation (Plan B) after surgery (Plan A) is a better option than radiation then surgery.

Post-surgical examination of the gland revealed a stronger cancer (Gleason 8+) that would have survived radiation.

Knowledge is strength.

Do your internet research.
Buy the Dr Patrick Walsh (He devised the nerve-sparing surgical procedure you’ve likely heard about.) and read.

Good luck, and come back here with more questions.