I realize that things can go horribly wrong with any serious surgery, and that even successful surgeries have a certain percentage of negative permanent side effects (loss of sexual function, incontinence, etc.), but ultimately each person is going to have a different set of priorities. To me, the radical RALP plus suprapubic catheter would be worth a loss of sexual function and incontinence, and if the surgery results in my being in intolerable agony...well, there is always suicide as an option to relieve the pain.