Sounds like you've made a very informed decision as to the path you've chosen. Good luck. Each of our situations are different, and unfortunately there's no one panacea. In my case I had been studying and staying informed on the different treatments for the past ten years since my father was diagnosed in 1997, and chances were that sooner or later I'd be dealing with prostate cancer (turns out it was sooner). I chose surgery because of my age and the fact that my tests showed that it was very well possible I had an aggressive cancer. My father's biopsy and pathology scores were lower than mine, and he was diagnosed and had surgery at age 67, while I was diagnosed at age 49.
Again, good luck!
Diagnosed: March 25, 2007
Biopsy: Gleason 6, 5 out of 12 core samples positive for cancer with <5% on all 5. Staged at T1c
DaVinci Surgery: May 21, 2007 at Florida Hospital, Orlando. Surgery took 1 hour and 45 minutes. According to my surgeon, prostate peeled away nicely and everything went text book. Nerves spared.
Pathology Report: Upgraded to Gleason 7 (3+4), Negative margins, seminal vesicles negative, no capsular penetration, lymph nodes left intact, 15% of prostate involved by cancer.
1st Post-op PSA: <0.01
2nd Post-op PSA: Scheduled September 27, 2007.
Continence: Out of pads 5 weeks post-op. Still have some minor stress incontinence from time to time but it's not an issue.
Erections: Yes! With the assistance of Cialis.
Family History: Father diagnosed with prostate cancer in 1997 at age 67. Prostate removed and has had a <0.1 PSA ever since.