Rose, I agree with the other comments, no two people are the same and each man will ultimately need to move forward with the treatment plan best from himself and his loved ones. For myself, I went with a robotic radical prostatectomy with nerve sparing at a center of excellence. I had my surgery in November 2022 and was 56, healthy, positive attitude with life, and was wanting another 30+ years of living with my wife. I did a significant amount of research before my first appointment to ensure I went into the the conversation with a baseline of knowledge. I decided on a robotic RP because of several reasons: (1) I wanted to fully understand the level of cancer that was in my body (post surgery pathology) and not rely on imperfect imaging tools and biopsies. (2) Cancer is so complicated and you never really know if the prostate cancer is completely gone - A RP does not guarantee all the cancer is removed, but in my opinion, gives you the best chance to address the known cancer. (3) A radical prostatectomy removes the prostate, seminal vesicles, and an assortment of pelvic lymph nodes versus radiating areas of concern or suppressing the cancer. (4) I did not want the possible side effects of radiation. I can handle the potential side effects of the RP (incontinence, impedance, infection), but I did not want to add in another variable like radiation.

Everyone is different when coming back from a radical prostatectomy. However, if you choose the best possibly doctor at a center of excellence (like Mayo-Rochester), your chances of recovery are very good. For myself, I am a bit over a year out from surgery. As far as I know, cancer has been removed (can never really know) and follow up PSA levels have been undetectable. Thankfully, incontinence and impedance were minimal post 3 months. As with others, I was methodical with my Kegels and getting plenty of sleep after the surgery. Also, stayed active during the recovery.

Please note - I am completely biased based on my experience with the RP. Each individual is different and treatment plans must align with life expectations.

Best of luck to you and your husband in making the treatment decision and moving forward.

Jim