@paulsheldonfoote I am not an authority by any means...I will tell you two friends of mine had the Da Vinaci surgery and still has incontinence after 5 years, my other friend had seeds placed for a less aggressive cancer is doing well but his PSA is still 3.9, I had my surgery and never had incontinence but after 6 years come January 2, 2026 I'm still not able to get an erection without using a shot, but I have a PSA test every 4 months and it's undetectable at .01. I don't think there is any clear or definitive answer on any of this personally...I chose my doctor because he said there is not a machine in the world that has a tactile sense for feeling other than a human being to do a nerve sparing surgery. He did my radical prostectomey and I think it was my best choice after seeing 3 surgeons and a radiologist. Please ask your radiologist if surgery after radiation is possible if your PSA starts to rise...mine told me there is not a surgeon in the world that would touch a radiated patient because of all the scar tissue. Do your do diligence and research every angle...I am so sorry you are in this position...Good luck and God Speed.