Great decision, so glad men are not just using the average lifespan to make these life limiting decisions. The average life expectancy includes all those that abuse their bodies and unfortunate deaths of the young (we were all young at one point and made bad decision, but fortunately we survived). I am 57 and have several friends in their mid to late 80's. They are doing great, have excellent attitudes, and God willing, will make it another 10-15 years. At the young/healthy age of 72 with confined cancer, I would always recommend a radical prostatectomy. This is the only procedure that allows for removal of the cancer and a full pathology to be performed. Other procedures use imperfect imaging tools to focus the treatment, but in the end, you can only hope that all the confined cancer was addressed. Even with a radical prostatectomy, unknown metastasis can occur - Cancer is cancer, and you never know if it has metastasized. For me, going with a radical prostatectomy was doing everything I could do to minimize the likelihood of reoccurrence, keep future options open in case of BCR, and get the best possible understanding of cancer stage in my body with a post RP pathology.

Good luck to everyone and as always - Just my thoughts/opinions, everyone if an individual and needs to make this personal decision based on their life expectations and personal research.