This isn't Spino, but RALP is Robot Assisted Laparoscopic Prostatectomy. I had this surgery in August of 22. Gleason 4 + 3. Surgery was not painful. No incontinence issues. Erections not quite the same but feeling is the same. I had nerve sparing surgery. If you opt for RALP I suggest you find a surgeon who has performed a thousand of these. My Urologist who also was my surgeon performed several per week for the last 20 years. Thankfully, my PSA has been under 0.1 since. My Urologist didn't recommend follow on Radiation or ADT after surgery. I went back to work after 8 weeks. I'd also ask your Urologist for a prescription for Pelvic Physical therapy. The therapist will instruct you how to perform proper Kegels to prevent or eliminate incontinence.