bluefin, the good news is the world of treatments is your oyster, (just to keep up the oceanic metaphor for you.) The bad news is the world of treatments is your oyster. And all are likely valid choices. Doctors will be fighting to get their hands on you. You'll make their stats look good! A lot of good choices makes it complicated when there are no clear right answers.
My decision to have surgery was driven in a large part by my head space make-up. I wanted the rotter sucker OUT and I wanted to know what the pathology was. I came to understand that other valid treatments weren't for me.
I suspect when you've met with all these doctors and have listened to all the advice you'll get here, from your barber, and your cousin's third cousin who just happens to know a guy who was "cured" by smearing his chest with hot Yak poop, in the end it will come down to your head space --- that which you're most comfortable living with.
As for 'comfortable living with' let me warn you about the hot Yak poop program. A) it can really mess up your micowave if you accidently overheat it, and B) your wife may learn to live with the stench, but I guarantee you she'll not be happy about the laundry issue. However, I do acknowledge the two year survival rate for hot Yak poop treatments is as good as any other treatment, and one of the best when it comes to incontinence. I'll let others comment on the ED issues which are somewhat unique.
In the hope the above is helpful, and suits your intact sense of humor, I remain,
Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours. Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn --- perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7
First post op PSA Sept 09 less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010 less than 0.02
PSA on April 9, 2010 less than 0.02
PSA on July 9, 2010 (one year) less than 0.02