I was 44 when diagnosed and treated. I had (and still have) a very healthy lifestyle and diet, with almost no red meat. I did all of the "prostate friendly" foods and supplements. Unfortunately, my family history of prostate cancer won out. Here are some points to consider:
1) Relatively young men in their 40's do particularly well with surgery. I sought out one of the best surgeons in the field. Ignoring the obvious consequence of having no prostate (no ejaculate), I can honestly say neither my wife nor I have any indication that I have had prostate surgery. In fact, in some ways, sex is actually BETTER after surgery, in no small part that I appreciate it even more.
2) I had read that something like 20-25% of men under "watchful waiting" eventually have their cancer advance outside of the prostate, even though they are being watched. Also, you will be subjected to further biopsies indefinitely.
I am biased toward treatment, certainly, but please be careful not to overemphasize the risks of complications and underemphasize the risks of postponing treatment. Best wishes
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
Difficult surgery due to prostate inflammation.
Both nerve bundles spared.
Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
Final pathology: neg margins, no capsular penetration,
Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07 First usable erection with Cialis
11/22/07 Thanksgiving - Bye-bye, pads
01/17/08 First post-surgery PSA result: < 0.008 ng/ml
03/17/08 Erection quality mostly back to pre-surgery levels with Cialis;
have not tried without meds yet.
04/23/08 Second post-surgery PSA result: < 0.008 ng/ml
07/30/08 Third PSA: 0.01 ng/ml
11/04/08 One year PSA: 0.01
Still taking 10mg Cialis every other day - enjoying the results
too much to stop yet.
02/07/09 Taking 5mg Cialis every other day - having too much fun to try
to stop for now.
03/23/09 PSA: 0.02