Hi @bjroc ... thanks for your update and candor with your side effects. I am happy for you that they have been satisfactory. You are the first person I have read about who referred to perineum pain. This is a side effect I have experienced as a result of "nerve sparing laparoscopic RP". For me, it has been 7 months, and I still notice a "tenderness" or "pressure sensitivity" along the perineum. I am hoping for a return to serious cycling fairly soon, but am reticent to make this worse (I have purchased a specialized seat to reduce pressure in that area - but still feel it). I am doing kegels multiple times/day and even using red & near-infrared light therapy to recover. Seems to take forever. Is there anything you have been doing to alleviate this? Or did you learn anything about this symptom? Thanks and best on your continuing recovery.