It would help if you gave a better description. First stage doesn’t really mean a lot tbh. Is it T1 ? Do you know PSA result and trend ? Gleason score ? I may be one of the more negative people on here but I had surgery at 48 and am now incurable at 54. Make sure you download the ‘ toolkit’ from the publications section and do speak to the nurses on here for free. They are excellent. My advice for what it’s worth is to do as little as necessary for as long as possible, as there is zero way out of this disease without life changing side effects both mental and physical. All men struggle in different ways. It’s one thing being cancer free ( if there is such a thing ) , but then maybe being impotent for the rest of your life :-(.