Hello, mate
I'm sorry that you're having prostate problems, but welcome to the forum.
Your cancer grade and PSA is relatively low and it's prostate confined. If it's any comfort, your bad news could have been a hell of a lot worse.
I'd have thought all treatment options were open to you. Did they not offer active surveillance? In any case, from what you've told us, I can't see any need to rush into anything.
Here's an excellent video on treatment options, covering the possible side effects of each treatment.
https://youtu.be/zYTU94-8pTc?si=1Z29_l8rbTwF6DHl
I chose RARP because I wanted a quick result. The offer of 7 weeks of radiotherapy and hormone treatment wasn't for me.
I found the operation a doddle, just an overnight hospital stay. Incontinence was an issue for about 6 months. Erectile dysfunction seems to be a permanent curse, but I've adapted by using penile injections.
Overall, there seems to be little difference between most treatments. However individual's side effects can vary enormously. You'll hear good and bad stories of whatever treatment you chose.
Treatments are improving all the time, but currently, I think you'd be very lucky, whatever route you chose, to avoid all side effects and come out of it completely unscathed.
On top of possible side effects, there is always a chance of recurrence, but again that applies to all treatments.
I think it helps to be decisive. Pick your treatment, stick with it, and never have regrets.
Please keep us updated and I wish you the best of luck. π
Edited by member 12 Aug 2025 at 10:28
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