After I had resisted treatment for close to 4 years (Active surv. - and my numbers stayed pretty much constant), I went to see my Dr to finally discuss treatment. He agreed with my feelings about
the side effects of treatment especially (and of course) ED! But he made a simple statement that I reflected over and over: "Impotence never kills anybody, Prostrate Cancer does!". This sounds like an obvious statement but I never quite thought about
it that way. In the end, I made my decision. I decided to live with whatever happens. But most importantly, I made the decison also to go in with the lowest of expectations regarding especially incontinence and ED. This way, I'd appreciate every small improvement. Go in with the mindset that continence and ED improvement will happen but will take time, this way if it happens sooner good, else just take it in stride. The important thing to know is that you will recover!
Don't get me wrong, I have 2nd guessed my decision to treat sometimes. Ironically, my recent 'undetectable' PSA results fueled the 2nd guessing more as I wondered if I couldn't have taken this a bit into my later years before treatment. However, nothing beats the peace of knowing, that the source of cancer is gone! Incontinence is gone! The fear that I'd not see my sons graduate from high school (due to Pca) is gone. ED not gone but improving (at least for me the stress of an imperfect erection is nothing compared to the stress of knowing I have cancer!)- and most importantly, I am alive!
God speed to all those about to go to treatment! Know that as demostrated by many on this forum, it shall be well!