Some guidance needed perhaps

[VisualDeadlock]

I typically post on the advanced PC forum, but was suggested I use this forum instead.

Update from me, here are some of my key stats

Age 44

Back in March 2018 I had an MRI for something else, and we found hypointensities around the prostate.

March 2018 - PSA: 0.33. Normal DRE. mpMRI done, PIRADS score 2

March 2018 - Biopsy done TRUS - found no cancer but found 3 or 4 cores had ASAP cells. 10/12 cores had inflammation

October 2018 - PSA: 0.36. Re-biopsy, No ASAP cells found, no inflammation

March 2019 - PSA: 0.35.

June/July 2019 - mpMRI PI-RADs 2 and PI-RADS 3

Today (Nov 5 2019) - went in for Transperenial MRI Us Fusion Biopsy. Results end of this week or next week. But I was reading my discharge papers, and the radiologist had upgraded me from Pirads 3 to Pirads 4.

So realistically speaking I probably do have PCa albeit seems to be caught early. I’m trying to think of treatment options. The hospital I went to is the only one that does robotic prostate removal, (Hong Kong) but I know radiation is an option too. I hear plus and minuses about both. Hoping to tap into the collective experience and get some advice about next steps and treatment. I am 44 so quality if life is a big thing

[Handdrummer777]

I would say that if retaining potency is very important -- you're 44 so it's gotta be -- go the radiation route. Surgery has immediate incontinence and ED to deal with. Statistically, more often than not, erectile recovery doesn't happen, or is a disappointment. Radiation also can have ED effects for some men, but they show up usually around 9 months to two years afterward.

Tall_Allen is a great resource. He may reply to you shortly. Good luck and get all the info you need.

Also be aware that Giddy and Xialla are out now -- two highly effective ED devices.

Best of luck -- this is a great group.