At age 45 I was diagnosed with prostate. After biopsies the prostate showed cancer on both sides of prostate but still contained. So my Doctor and I settled on a radical (1999) prostatectomy, with NERVE SPARING, ha! After successful surgery, I did 6 weeks of intense radiation treatment. A year later the incontinence was driving me crazy. So we added an artificial urinary sphincter (2000). SUCCESS, my PSA was undetectable until (2014). Now when the PSA was at 2.0 my oncologist began LUPRON every 3 months for metastatic prostate cancer. On the 8th month we took a break from lupron even though PSA was still detectable 0.1. As soon as we hit the magic number 2.0 again, we started LUPRON, and a trial drug ZYTIGA with a prednisone chaser. Now my energy level in continuing to decline. In (2016) the AUS (artificial urinary sphincter) failed, so the super incontinence is back, I am now 61 and not sure if I want to go through another surgery of that magnitude to replace the AUS. May (2018) I am scheduled to go back on the LUPRON but we still have not located the cancer. I retired November 2016, because of the fatigue, and some days are better than others.