First thing I would recommend is that you get here hereditary genetic testing. Getting prostate cancer so Young can be due to genetic issues. I got it at 62 because my mother gave me BRCA2, a Genetic problem. My brother got it at 77 because he didn’t have it. Our father died of prostate cancer and gave us a very high percentage chance of having it, So that helped both of us get it but my genetic problem resulted in my getting it much younger.

I didn’t find out. I had the Genetic problem till four years ago. I had a 3+4 but decided to have surgery because my father had radiation. Turned out after surgery they found out if I was a 4+3. 3 1/2 years later, it came back and I had salvage radiation.

The only side effect I had after surgery (16 years ago) was ED. I had no incontinence. After radiation, I still had no incontinence. Six years after radiation, I started having incontinence and they got progressively worse in the last six years. There are a number of solutions for it, I had an AUS put in. I no longer have incontinence.

My brother at 77 had five sessions of SBRT radiation. That seemed to work quite well for him. Three years later he’s just fine.

You can get brachytherapy, It can be very effective. You also could get SBRT radiation.

Both of those radiation treatments can cause urinary issues, Some people have diarrhea for a while, The problems usually go away Over a few months.

There’s no way to know what your side effects are gonna be since everybody is different. A lot of people can tell you what happened to them, but that doesn’t Really tell you what’s going to happen to you.

I know people that have had serious problems from either treatment. Lifelong issues. That is unusual, but it can’t happen.

They have a test called the Prostox I can tell you whether or not SBRT or IMRT radiation can cause problems. They cannot tell you whether or not brachytherapy Will cause you issues.

You could get focal therapy if it’s isolated to one side of the prostate. That can work for a long time and later you could have surgery or radiation. The long-term results are unknown, A good percentage need further treatment.

You should have no problem being a cyclist after treatment.