Welcome to HealingWell. Your questions are very welcome. The experience with prostate cancer varies from patient to patient. ED and incontinence are proper fears before treatment. But most men do quite well with both, whether aided or not. Some guys, mostly those who undergo additional therapies, do have greater issues with ED. I am one of them. But my wife has stood by me in such incredible ways. We are both doing very well. Me with my cancer, and her supporting me with my cancer, while still taking care of everything else she always takes care of.
An active 69 year old with Gleason 7 does not have to rush to treatment. But if there is longevity in the family and he is in otherwise good health, an intervention is probably wise. Typically surgery is a good first option. But for each individual it is different. Perhaps looking into radiation therapies is at least wise and it offers more delayed effects from treatment. In addition, I don't think all oncologists would advocate watchful waiting with a Gleason 7. But there is plenty of time to make decisions. Keep looking at the olptions, and keep a close eye on that PSA. By the way, what is his PSA?
Age 47 (44 when Dx)
Pre-op PSA was 19.8 : Surgery at The City of Hope on February 16, 2007
Geason 4+3=7, Stage pT3b, N0, Mx
Positive Margins (PM), Extra Prostatic Extension (EPE) : Bilateral Seminal vesicle invasion (SVI)
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (May 11, 2009): <0.1