I'm late to this thread but thought I'd add my story anyway. Always been an avid cyclist, including competitive mountain biking. I had my 3 month follow up on 5/29/25 and had started cycling about a week before. Used my mountain bike for more cushion and did short distance in neighborhood. Mostly smooth, with little grade. For my first 2-3 months of recovery after surgery on 2/25/25 I did a lot of walking with a weight vest. I felt okay on the bike. A little bit of pain and tenderness showed up after my first couple of rides. I rode several more times and talked to my surgeon at my 3 month appt. He was not concerned about the small amount of pain. He also did not think I'd be setting my healing back by cycling. Gave me the green light.
I returned home and began cycling on my road bike. Less cushion, more leg extension. I had lowered my seat on the mountain bike, but not on my road bike. The combination of more extension and a little more jarring ride over less than optimal surfaces increased the pain and tenderness a little. But I'm already doing an average of 15 miles per ride.
Conclusion: I know that while some of my most delicate surgical results, like the anastomosis of the urethra to the bladder, have healed well, there is still anatomic adjustment happening. From what I've read, the bladder may return to an optimal position within a year. My surgeon did not think my ED would resolve because he 'went wide' to contain the tumors in my prostate. Therefore, I'm going to ride normally and try to increase my fitness level. I intend to return to mountain biking on trails this month also.
I'll post an update to my story here at the end of the summer. Or maybe sooner, if I have unexpected results to report.
For now, I'm excited to have an undetectable PSA and a good pathology report after surgery. I return to living life with a much more positive outlook about my health.