I believe there are multiple threads on this subject on this forum. I was quite engaged with it a couple of years ago after my lapro RP. Unfortunately a different cancer diagnosis diverted my attention to that as the PC (knocking on wood)) seems to be under control... but as an "avid" mountain biker (competitive multi-day stage races, coach, daily rider on steep, technical terrain...) I was super-concerned about this! Was my whole (almost) hobby life at risk!? Anyways, since August 2023, and after what seemed like a long, arduous recovery period (which never really ends), I have been back on the bike for more than a year and have travelled to some high-altitude destinations for some great riding. There are some good products out there to help anatomically-speaking for cyclists - I will suggest several of the BEST products I have come across and use to legitimately relieve or remove pressure from the perineum when cycling. The first are saddle recommendations: THE most comfortable (and pressure-relieving) saddles I have found are: "Ninety-K" brand - I am riding on the "Nirvana" - but there are many models depending on your cycling preferences (road, tri, gravel, MTB, etc.) ALL are crazy comfortable - some have full center-line channels to transfer pressure to sit bones vs perineum - Awesome! "SQ Labs" also makes some great saddles! But one product you might never think of or have heard of, is the "Aenomaly Switchgrade". It is mainly a mountain bike product (but could be for gravel or even mixed terrain riding). It actually (and effectively) allows you to change the angle of your seat on the fly. It has 3-position settings - designed to put you at the most efficient angle, but also with the least pressure on sensitive areas, depending upon the terrain (i.e., climbing, flat, or descending). It is a well-made, robust accessory that attaches to most seat posts (there is compatibility guide and multiple models on their website). Anyways, I have found these to be great "mitigators" on my return to cycling post-surgery and going forward - probably good for "prevention" too! If there is another thread you think this might belong on - please share! My best wishes to everyone on this journey. It gets better!