HI,
I have a couple friends who are in the 40"s has a positive Biopsy and opted for the needle seeding with radioactive isotopes it had a very good outcome for both of them with the least tramma to the surrounding tissues. and they have been doing very well without the surgery to remove the prostrate. They both have had no changes in sexual performance either. Prostrate removal can have some risks.to delicate nerves in the area.

PS: Another common problem is the Dr does the rectal exam as aprt of the physical and then sends you to the lab for your PSA the finger wave can spike the PSA.
Doug