I have an inguinal hernia at the belly button after my robotic prostatectomy in September 2022. While my PSA has been < .01 for the first year I have now gone .04 being detectable and am going to my urologist next week. I understand that if the PSA keeps going up I will be headed to radiation, I had several positive margins during the surgery. I still have incontinence issues ( had some problems prior to surgery but am much worse with added stress incontinence). I am of the impression that my urologist was going to suggest an AUS but I am not sure I want surgery in the pelvic area because I have pudendal nerve hypersensitivity. I have had a nerve block which has helped the sitting pain that occurred after the prostatectomy but the penal and perinium pain which I had before surgery is still present causing urinary frequency and urge incontinence.
The question I have is should I be trying to get surgery prior to radiation or should I just wait and see?