I am exactly two years out from my RALP and do not regret my choices, though sometimes I have doubts I took the correct course. I have several friends who took the radiation route, and all but one had a recurrence of the cancer within ten years. Choosing surgery was based on the advice of every opinion I sought, including the radiation specialist, because I caught the cancer so early, and it was not the slow growth kind. My PSA has since been negligible at every interval that it is checked. Yay. I am alive and prostate cancer seems to be gone. The prostatectomy was followed a year later by a robotic inguinal hernia repair. Coincidental timing? I think not, as many here have agreed, but the repair was successful. At my 18-month PSA checkup, I asked my urologist/surgeon two questions: 1) When will I be 100% continent? He asked how many pads I use and I told him never more than one a day, but I still leak when exercising. "How much leakage?" Just a few ounces but it still required pads when golfing, hiking or playing pickleball. He told me one pad a day fits the definition of "continent" in the eyes of the industry. Question 2) When will I get erections again, since he said the original surgery was nerve sparing. "You are likely as healed as you will ever be", meaning no more natural erections. I fell into the minority group of patient results it would seem, but reading comments on other sites like FrankTalk and NAFC.org makes it seem like there's a lot more men like me out there than the data would imply. In two weeks I am scheduled to get the male urinary sling, but the surgeon has told me flat out the improvement won't be dramatic because I leak so little now. But I am pursuing it because I want to live with as little leakage as possible. I will not tell anyone what choice to make but your life will change because of this cancer. You will come across people who pooh-pooh it saying, "Oh it's only Prostate cancer, they can cure that". And you'll have to nod and smile when you really want to yell back that kidneys never stop producing urine and urine never stops flowing out the body if it doesn't have traffic stops. And you just had your traffic stops cut out of your body. And remember that concept of "self" so big in today's culture? Males grow up thinking an erection is proof they are a masculine being. And now that is gone too. Life is full of changes, and we have to adapt.