I definitely can understand your concern over ED and incontinence. For myself (different for everyone), prioritization #1 was a cancer free life (1000 out of 10), #2 continence (distant #2), and #3 erectile function (distant distant #3). I retired a few years ago (just prior to being diagnosed with PC) and was very much looking forward to 30+ years of cancer free life. Also, watching my uncle die a painful death from PC that metastasized to his bones probably biases me toward addressing the PC versus watching it grow. If I was in my mid-80's, my treatment decisions might have been different, but who knows?

Bottom line - If you want a good outcome and great quality of life post treatment, go to a center of excellence like Mayo-Rochester. My outcome was absolutely awesome. Not that there was no short term pain/challenges, but long term I am good to go.

Best of luck with your decision!

Jim

One thing is for sure! Your Medical team needs to keep a close watch on it, and if the tumor begins to approach the margins, it will need to be dealt with more aggressively. If it jumps across the margins into the lymph nodes, then all bets are off, it will, then become “metastatic” and you’ll be in for a much more difficult journey ahead!