I went looking deeper into this because of Selmer's point. ED may in fact be a psychological piece as much as physical. Either way, if the patient did not have it before treatment, but in ten years had it with no treatment, it still registers as a valid point. Saying it's just "old age" is not a valid argument. There is always a cause. The fact is that most men to the age of 65 and even 75 have healthy
sex lives. Even if ED was a natural part of aging, then it certainly can indicate those treated with other modalities were headed that way anyway. After 65 at Dx was excluded.
For me I choose to believe that this study is very interesting, and that it sheds light upon the fact that watchful waiting is an option, but not without side effects. As I posted in another thread, here is what the Prostate Cancer Foundation says about
symptoms of prostate cancer:
If the cancer is caught at its earliest stages, most men will not experience any symptoms. Some men, however, will experience symptoms that might indicate the presence of prostate cancer, including:
A need to urinate frequently, especially at night;
Difficulty starting urination or holding back urine;
Weak or interrupted flow of urine;
Painful or burning urination;
Difficulty in having an erection;
Blood in urine or semen; or
Frequent pain or stiffness in the lower back, hips, or upper thighs.
When one reads this, it makes perfect sense that no treatment will lead to more pronounced symptoms of the disease ~ IMHO
Age 46 (44 when Dx)
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)