This disease and the side effects of non surgical treatments or the physical changes from surgery can be devastating for a man and indeed for his wife or partner.
Some men (although surprisingly few) fear death but so many fear the loss of erectile function or continence.
That fear can promote so much anxiety, depression and loss of confidence that these mental issues can seriously contribute to the physical problems.
I really wish the medical teams and the NHS could truly recognise the impact this has on so many lives.
Billions are spent helping those who have chosen to lead a lifestyle that brings them medical problems and yet so little is invested in the life changing and devastating issues that ED and incontinence can cause.
We hear from quite a few men honest enough and concerned enough to talk openly about the issues on this forum. Sadly sometimes with partners who have lost their own mojo for whatever reason. Sometimes we even get a wife or partner who opens up about their frustration or sadness when missing intimacy, how difficult it can be dealing with both the physical and mental issues their Husband or partner is struggling with.
It is fantastic to read success stories like Pablito's, CB99's and others. Success that has taken a matter of months, has happened gradually and with lots of self help or has happened with that rare persistence of medical help when virtually all hope seemed lost.
I do think PCUK can help to make changes that will focus on this major issue, just like the fantastic job they are doing with awareness, treatment research and community support et al.
I know that these problems reach far wider than prostate cancer, all the more reason why more NHS help should be offered and readily provided.
In the meantime, the more people who share their experiences and talk about things that have helped both mentally and physically the better.
I wish every one of you the very best as always