With a Gleason 7 diagnosis and 4 positive cores, I guess my first priority would be to save my life and let "junior" fend for himself. I'll be darned if I'll let my penis dictate my decision on whether or not I'll do what I can to preserve my health.
I also was a Gleason 7 (3 + 4) with all the positive cores on the left side. However, the pathology report after surgery found more cancer on the right side as well. It was only the luck of the Irish that it was found to be organ contained. Unfortunately, the original biopsy often understimates the extent of the cancer. Fact is, there's no way your uro can be sure your cancer is organ contained. The bone scan and CT scan don't mean anything in that regard. Organ containment can't be confirmed until the prostate is examined carefully after surgery.
Unfortunately, in my case, the left nerve bundle could not be saved and I find myself with ED. That bothers me, but not nearly as much as having an aggressive cancer threatening my very existence.
I'm 66 now and would like to still be alive and feeling good a decade or even two decades from now. If that means living with impotence.....well, most things in life come with a price tag. For instance, if I develop type II diabetes, I'll have to give up many foods I really enjoy. Every disease has its price.
I understand what you're saying, and we each have to make our own individual decisions, but since you posted your thoughts on this, I assume you are interested in other people's comments. I wish you all the best.
Dx June 2010.
PSA rose for 3 years to 6.2
Bx shows cancer in 6 of 12 cores, all left side
Gleason 7 (3 + 4)
Bone scan, CT scan, rib x-rays negative.
Negative margins; negative seminal vesicles
5 brothers, ages 52-67 ; I'm only one with PCa
Continence after 7 weeks. ED continues.
PSA 1/3/10: <0.01; 6/12/11: <0.01
Post Edited (clocknut) : 10/5/2011 7:17:28 AM (GMT-6)