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Sounds like you have done your homework, It appears you have low volume disease and that's good. If sexual function is really important to you, you might consider FLA (focal laser ablation). Since your tumor is small and only on one side you could be a good candidate for this procedure. You would need to get a 3T-MP-MRI to know for sure but that is a good idea even if you choose not to have a FLA procedure. It can find high risk tumors that are missed by the blind biopsy.
Things I like about the FLA treatment option:
1) Virtually no urinary or sexual disfunction...short term and long term.
2) If you have recurrence all of your options are still open including repeat FLA.
3) Very short recovery period ...couple of days.
I have not had this procedure because my disease was bilateral and large volume but I would have if I qualified.
Not trying to change your mind...Just information to consider...This is a relatively new procedure and most doc's don't even know about it.