Is your cancer truly confined to the prostate gland, or has it spread to nearby-or even distant-parts of your body?
Is it aggressive or slow-growing?
What is your general health status?
Are you young enough so that even a slow-growing cancer might someday pose a threat?
Are you healthy enough for surgery?
Are you willing to risk serious, lifelong side effects to possibly reduce your chances of a cancer death?
How important is it for you, in your work or recreation, to maintain bladder or bowel control?
How important is it to be able to have erections?
Would you find it too worrisome to live with an untreated cancer, too stressful to face frequent monitoring?