One of the outcomes of prostate surgery is erectile dysfunction.  So it is a bit alarming that advanced stage (IV) prostate cancer is being diagnosed in younger men (60 and younger).  It means they will need the surgical treatment and it means they may have the unfortunate side effect.  That is apparently the bad news....the good news is that these patients are living longer.  But even though they are living longer, they are also facing rather serious physical and psychological side...