My 2 pence worth FWIW,
No Doctor?/Surgeon will ever tell you what to do or go for.
If a Doctor/Surgeon recommended a particular treatment option for you, and, it went wrong? They may be liable to being sued? That may be why they do not TELL you what to do.
My GP said to me after my choice that his dad had chosen the same and if he (MY GP) were me, he would have done the same. BUT, that was later, after I had made my choice. And even then, he may have been comforting me?
My very brief history: Age @ diagnosis 55, ZERO symptoms, routine DRE revealed hard prostate, PSA high, follow up PSA even higher, MRI = Cancer, Biopsy results = Cancer. 4 treatment options offered/suggested.
I wanted it OUT. Full stop. I did all the research, I thoroughly considered all the options, and after several hours and sleepless nights, the only solution for me was surgery, and that was bearing in mind the then successful outcome results.
Op May 2013. ED recovery November. Dry by November, unless stressed.
IF you choose surgery your POTETIAL consequences MAY be:
1. death on the table, apparently 1 in 400 my surgeon told me, as i was his 399th I was anxious!
2. ED - even though all men have the same basic bits in the same basic places, there is a randomness chance that you may get ED.
3. Bowel incontinence - even though all men have the same basic bits in the same basic places, there is a randomness chance that you may get BI.
4. Urinary incontinence - even though all men have the same basic bits in the same basic places, there is a randomness chance that you may get UI.
Bear in mind, people here tend to be those who have issues, worries, problems, seeking comfort and support and reassurance.
Many, as my GP said "We don't talk about them", get off the table immediately dry and with a hard on.
There are no guarantees either way.
You have to make your best choice on all the information available to you at the time. AT THEW TIME. And then you have to go with that. It's one dart at the bull.
And then, post op, you may find that your best choice was subsequently not your "best choice" in hindsight, but you did not know. So no point beating yourself up. That moment? It's gone.
YOU have to do what YOU what you feel most comfortable with.
Best of luck.