I had a NNS RARP in the summer of 2024. I had a BCR on my first PSA following surgery. My PSADT was 2.1 months. At 90 day following surgery I started 40 sessions of IMRT to my prostate bed and a newly identified metastatic lymph node. I was also placed on Orgovyx and Daraludimide for a minimum of 2 years. I was initially very incontienent, but things improved somewhat such that I was using 1-3 pads per day at 6 months post surgery. I had had an ankle replacement the summer of 2023. Bone demineralization caused by the androgen deprivation therapy and the androgen pathway inhibitor caused my talus to develop a 1" diameter cyst below the talus component, so the ankle collapsed. I had revision surgery complete in mid-April 2026 with a new a titanium 3D printed talus. After surgery, I developed a severe urinary tract infection. A nurse had a hard time starting a catheter and kept poking around. As a result of the infection and/or the attempted catheterization, my incontience worsened significantly and I now use 4-5 large night time pads a day. I also use a pad on my bed and I use a penis clamp when out in public. I have wet my pants 4 time in the past month and I am tired of it! I am scheduled for my new AUS on December 1, 2026. The ADT and AR have been brutal on my physical and mental health - truly sucking my life away! I have my fingers crossed that this goes right and improves my life. But remember all the advise from so many folks, prostate cancer is no big deal!