Hi Martin
First and foremost it is very unlikely that you will die of prostate cancer for a long time, if at all! Generally Prostate cancer is slow growing and that also means that you have time to think through your treatment options and unless your advisors tell you otherwise there is no need to rush into a treatment decision.
Your diagnosis seems similar to mine ……. I was 59 at the time, and you sound fit and otherwise healthy so there are lots of things on your side.
Main treatment options are prostatectomy, external beam radiation and brachytherapy …… all able to cure you if, as you suggest, your cancer is localised. All have different degrees of the side effects. As already said it is crucial to see an oncologist for you to discuss the options.
If you are researching the options best to look at the more recent information as there has been improvements in all treatments options recently. A classic example of this is robotic prostatectomy (RALP). Modern advances have reduced the degree of side affects in most patients. I know someone who had RALP a couple of years ago and within a couple of months he was virtually back to normal!
So take good care of you, take a little time deciding what YOU feel is the best treatment option for you and try not to worry too much (I know, easier said than done!).
zum