OK, speaking as a physician in circulatory medicine and an older man than you are, I gotta tell you that, from a medical perspective, normal sexual function isnt a guarantee to anyone, no matter what their medical history. So you can fall on your sword of nobility and choose to not have surgery and live only three or four more years in what you think is going to be a functional state (and what you think is going to be a functional state when you're past 40 is a lot different from what your imagination is now, most likely), or you can have surgery and live longer than if you tanked within four years and have whatever sexual function is granted to you, which is how it's going to be anyway as you age unless you're compulsive about your circulatory health.

My point is it comes down to whether you want to die sooner than later. Sexual function tends to decline as men get older. And wives and girlfriends are a lot more likely to overlook problems in that area, anyway. What's a big deal to you isn't always a big thing to them. They're about a lot more than how the sex is. They care about how the relationship is.

You're going to get suffering either way. Don't kid yourself. If you have the surgery now and have to face that recovery, sure, you're going to have pain and recovery and potential changes. But you will recover and get the chance to live a longer life, father kids (even it it's through artificial insem), feel the sensation of orgasm, and see what middle and older age is like. You know that's what's more likely.

But if you choose not to have the surgery and let the cancer take its course, you're going to endure suffering a lot sooner. Not pretty, heroic, noble suffering. Miserable, painful, early suffering. I just watched my sister inlaw die three months ago. It's not pretty. You may have a pleasant period before then, but that's what it'll be, a temporary period.

So I hope that makes sense. I may have been a little blunt, but that's how I am.