@wwsmith "I am a big advocate of radiation treatment (RT) over radical prostatectomy (RP)."

Weill, I am the opposite. I chose RALP 5 years ago to avoid peripheral damage. I chose non-nerve-sparing because the cancer had already reached the surface of the prostate, so the nerves were probably already compromised. Surgery always removes the seminal vesicles, & cancer that escapes to the lymph glands is out the range of radiation, unless you radiate the entire pelvic region (with associated damage). In my case, there was no incontinence, then or now. I still have all the unused diapers.

I can always do radiation later (so far unneeded), but not the other way around. Plus, I kinda liked the idea of one visit (plus one post-op) rather than 38.

My friends who have had surgery are cancer-free after 15 years without any issues. Those that have had radiation, had have significant bladder issues.