I don't understand why an active lifestyle would lead one to recommend against surgery?
My own story: after PSA rise from 4 to 6 in a year i I biopsy, ten samples, two @ Gleason 3+3, one @ 4+3. Having done 35 Ironman + 6 other marathons (8x Hawaii, 3x Boston) in the previous 20 years, surgeons told me in spite of my age 74 I was a good candidate for surgery and good immediate recovery in part *because* of my fitness.
Seven months post surgery, I have been using 0-1 pad daily for the past 4 months, competed in more triathlons (shorter distances), and have continually improving sexual function, now @ 22/25 on the ED scale.
Except for 4 weeks of recovery post surgery and 3 months off the bike, the procedure did not impinge on my athletic activity levels or performance, athletic.
trusam1: Thanks for your encouraging comments! You certainly are in a class of your own regarding your many fitness accomplishments! I wish I had started running earlier in life. I have always been fit and without significant health issues; however, I just started running at age 66 (~18 months ago) and I'm now consistently running 2-3 times a week and participating in the occasional 5K race. The amazing thing is that I could not come close to completing a 5K race 30 years ago and now I do it routinely.
All that said, my positive PC diagnosis was a "shot across the bow", as I'm sure it is for every man who hears those words from their doctor. In any case, I know enough to take my time on making any treatment decision and doing my research so that I am entirely comfortable with whatever course I pursue.
It's good to hear of your quick recovery and ability to get back to your athletic activities. All the best for your future!