I chose five sessions of SBRT radiation and six months of ADT. Radiation caused few problems--a couple months of difficult and burning urination treated with Flowmax and I couldn't ride my bike for about six months because it was painful.

I also agreed to six months of ADT which was not pleasant and caused me a lot of mental problems and some physical issues. It's now almost a year later but my testosterone has only partially recovered to about half of what it was before and is now below normal. I've developed some hip and pelvic pain but it's more of an annoyance than anything agonizing. My PSA is .04 which is really good for still having a prostate.

I've been seeing a sexual health doctor and it's been totally worth it. Between low-dose daily Viagra, some unusual penis exercises, and some pelvic floor PT, my sexual function and libido are as strong as ever, and orgasms are getting better. I now ejaculate a totally clear fluid instead of semen but it still feels good.