My neighbor down the street had ralp at 75 and after 1 month he is back to normal doesn't need pads or anything. I'm suppose to have surgery in the middle of February but I'm also on the cancelation list. I just turned 69 and am extremely active so hopefully that will benefit me I will do what it takes to regain urinary control. I was strongly considering radiation sbrt but my decipher score came in high and decided on ralp.