There are two concerns about PSA and PC treatment.
PC is usually, but not always, slow growing. After detecting PC it is often 15-20 years before it causes death. For elderly they will frequently die from other causes.
However, at 44, IF you have PC then it will have time to become fatal.
The other concern is that PSA ia not very specific. A number of things can affect PSA. That includes age related prostrate enlargement, having sex, riding a bike or horse, inflammation of the prostrate, and of course PC.
At your age the normal range of PSA is 0-2.5 for a white or 0-2.0 for a black or asian.
With surgery the side effects are worse right after the operation and can improve for upto 2 years.
With radiation the side effects worsen with time for upto 2 years.
Studies have shown that after 2 years men who have had surgery feel that they have the same quality of life as those that had radiation.
However, the type of side effects are somewhat different between surgery and radiation.
One reason that I chose surgery was I was more concerned about the worse case side effects of radiation vs the worse case side effects of surgery.
And for surgery the best results are obtained if he is of a normal way, exercises - specially exercises that work the pelvic area such as walking/joging, and practice Kegel exercises before the surgery.
For the record I had almost no pain and was dry about 8 days after the catheter was removed and started having erections a few days later.View Thread
Proton therapy advocates argue that protons blast radiation directly to the tumor and therefore avoid side effects. The more common "intensity-modulated" radiotherapy (IMRT) exposes some healthy tissue to radiation that researchers hypothesized would increase side effects and even additional cancers. After a year, however, the study found the same number of side effects among men who'd had both treatments. View Thread