That is not true for all physicians and facilities. Doing surgery (usually called salvage, an unfortunate term) after radiation is more difficult, and many physicians don't want to mess with it. But there are surgeons in Mayo Rochester Urology who do the salvage procedure for appropriate patients. I am sure that is true at other major cancer treatment facilities.

It’s not commonly done but I’ve had it after failed brachytherapy. Very few patients quality. Low BMI and excellent shape and health (other than PCa) are a must and you have to be free of co-morbidities. I needed the catheter to be in place for 3 long weeks and it took another 6 weeks to feel like my old self.