I had RP surgery at age 65. Post-surgery, a PSMA PET scan showed cancer present in lymph nodes near the prostate fossa. They were removed 4 months after the RP, and a couple of months later I began 2 years of ADT and had 39 salvage radiation treatments. Kegels alone helped me get good (not perfect) control through the first year post-surgery. After that, urinary continence worsened. My urologist put me on low dose tadalafil and ordered pelvic floor PT. PT helped a good deal, but I still wore pads at night and shields often during the day. Since coming off ADT on schedule, my muscle tone has improved over all, and the incontinence was virtually gone; however, when I went off tadalafil last week, incontinence returned. I'm about to go back on it and keep those muscles juiced up for a while longer. I continue to practice pelvic floor PT at home. Key takeaway: ADT reduces muscle tone; you may therefore experience reduced control; you may regain control after you complete your course of ADT and muscle tone returns.