Healthy fit 52y/o here. Staring down the barrel of needing a prosectomy. PSA has risen to 5.4 from 4.8 in one year, dad and two brothers have/had PC at similar age. Had biopsy last week and found cancer in 5 of 12 samples….though earlier MRI was clear. The biopsy results were like reading a technical doc so I’m yet understanding all the metrics. Have a call later today with Urologist to discuss next steps and he recommended including my wife on the call. I’m feeling 95% sure he’ll recommend the RALP and I’ll be getting educated on the other options. Right or wrong, I’m more concerned about collateral damage from the procedure than the cancer spreading. Though a dry orgasm shouldn’t be on my concern list, it is. Wife, previous partners and I all got enjoyment from my thick ropes. Hard for me to imagine a dribble or totally dry. Was this a concern for you too? If so, how did/do you manage that “new normal”?