I was diagnosed with 9 Gleason score aggressive prostate cancer at 74. My doctor team at UCLA were all professors at the medical school and they recommended Divinci robotic surgery because that kept the option of radiation later if I needed it. I had 6 months of ADT + Erleada, then surgery, then 6 more months of ADT and Erleada. The surgery cut out the prostate, infected seminal vessels and some heathy tissue surrounding the prostate and seminal vessels . I thinks that I made a good decision. I had minor leakage problems for about 3 months and wore pads, but I am over that. I had very low energy and sleep disorder, ED and no desire. I have been off of the drugs for 1.5 months, ED and no sex drive continue but all other side effects are gone. My PSA is .01, testoserom is 6. My side effects were livable and manageable. If I had to do this again, I would follow the same procedure and I am hopeful for a cure or a long period of remission.
Keeping as many options available for when and if the cancer returns was important to me. I was very apprehensive but the surgery and recovery from the surgery, was actually no big deal. Robotic surgery with a surgeon who performs many such surgeries each week at an excellent facility is very important.