Cooper, Dunno, something isn't right.
First of all, the number one thing you need to know is that you don't always get all f your options from the urologist that diagnosed you. It's up to you yo learn, and take control. You may well be a candidate for AS at some institutions. You also are probably (I'm not a doctor) a candidate for brachytherapy (seeds), and SBRT (like Cyberknife. You have many options.
My Dr told me nobody in my area did Brachy anymore. I did my own research and found it couldn't be further from the truth. So listen man, take control, darn it, don't take the Drs word for it as gospel.
Also, everyone is different, but the vast majority of guys have 3 priorities in this order...
3. No ED
YIU HAVE A GREAT CHANCE OF CURE.
I believe that in the hands of a good, HIGHLY Experienced surgeon, the chances of you being fully continent are high.
ED can be more of a struggle for some guys, but the pills often take care of that.
Make sure you consult with at least one experienced surgeon, and at least one, really 2, experienced radiologists.
There is life after Prostate cancer, do the work, don't just listen to the doctors.
Age 64 (in 2014), PSA Feb 2006 - Nov 2014, PSA rose from .7 to 4.3
Nov 2012 - Biopsy - 14 cores all negative for PCa, 1 showed Hi Grade PIN
Nov 2014 BX 3 of 12 cores positive original pathology G6 10%, G6 20%, G8 (3+5), 70%.
G3+5=8 downgraded to 3+3=6 @80% by Dr Epstein, JH
Surgery with Dr Ash Tewari Jan 6, 2015
Post surgical pathology – G7 (3+4), ECE, Margins, LN, SV all negative
PSA @ 6 weeks 2/15, .<02, 4/15 <.02 7/15 <.02
My Story: tinyurl.com/oo9x4aq