I was also diagnosed with unfavorable intermediate-risk prostate cancer last year. A GPS test indicated that my cancer had aggressive biology. I chose surgery because both surgeons and radiation oncologists advised that my pre-existing urinary symptoms due to BPH (such as a weak stream) would likely be significantly worsened by radiation.

Seven months after surgery, I still experience incontinence despite diligently performing pelvic floor exercises under the guidance of a highly experienced physical therapist. Outcomes and side effects can vary widely from person to person, depending on factors such as the type of surgery (nerve-sparing or not), the condition of the prostate before surgery, and the skill of the surgeon.