Cher
given the extent and stage of the cancer, the probability that it would return quicky and further metastasize is extremely high. Getting it out now reduces the chances.
With regard to impotence, no more baby making, it will be dry orgasms but orgasms nonetheless. The erection part is the issue. If possible, he needs to get nerve sparing surgery when they remove the prostate. Depending on where the cancer spread to the prostate they may not be able to do nerve sparing. Even with nerve sparing it can take from a couple months to a few years to know if it worked.
There are other things that can be done (pills, shot) but cross that bridge in time.
Let's just see what they find during surgery and we will go from there.
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...