I see over and over again that we are being faced with the choice of selecting a treatment plan that is less invasive and leads to a "higher quality of life" (i.e. you can maintain an erection and have sexual intercourse with your partner) versus one that may be more likely to cure the cancer.. Memorial Sloan Kettering is now even supplementing their treatment plans with ED meds from the outset.
It is obviously very individual, as to what constitutes "higher quality of life" for each person. However, I see that it has become virtually synonymous with maintaining one's sex life. When I was faced with the choice (age 57), I began thinking about all aspects of my life, things I had and had not done. Spending more time with my wife, grandchildren and traveling to places I have never been and always wanted to visit,as well as maintaining my sex life. In my case I decided that sex was a part of who I am but certainly did not define me or my manhood and that I was at a point where I was okay with letting that go for the other benefits I would receive.
I encourage every man facing the various treatment options for prostate cancer to really research the clinical outcomes, survival rates and duration and types of treatments. Weigh the side effects and efficacy of treatment protocols against what you would have to endure undergoing that treatment down the road to continue battling the disease.
Life is wonderful and it offers us so much to experience, no matter how old we are. Take that extra time to consider what is truly the most important to you. May we all make the right choices for what we most cherish.