← Return to Outcomes and impacts from SBRT and/or Robotics Radical Prostatectomy

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Profile picture for peterj116 @peterj116

My 2 cents....

I was doing the radiation vs surgery thing, too.
Reading about them, I found that surgery often results in incontinence & ED pretty much immediately (although they do resolve later).

Radiation (which I didn't choose) can result in bladder incontinence AND bowel incontinence.
ED doesn't immediately appear as a problem, but can show up later.
Bowel incontinence was a hard no, for me.

But if continence & erectile function are important to you, surgery is not your friend.
https://www.differencebetween.net/science/difference-between-surgery-and-radiation-for-prostate-cancer/
Other opinions incoming.....

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Replies to "My 2 cents.... I was doing the radiation vs surgery thing, too. Reading about them, I..."

@peterj116 Thank Peter, much appreciated. the link is also helpful

@peterj116
There’s a new type of surgery Retzius Sparing that greatly reduces the chance of incontinence and ED. You should consider a surgeon that has done many.

While you have heard of many side effects of radiation, 5 sessions of SBRT seldom results in long term issues. You could pick proton radiation, though some people still have side effects from it.