I had a RP in August 2021, at Duke Cancer Center. My PSA climbed slowly over a 3 year period, 2.5 to 4.2 with no enlargement or masses that were detectable through a digital exam. I had a needle biopsy first that showed two areas with Gleason 7 ( 3+4). Then had a prostate MRI that showed a couple more lesions that were contained within the prostate. Next I decided to have a fusion biopsy to gather even more information. I absolutely love the multidisciplinary team that consists of pathologists, oncologists, scientists, medical geneticists, and clinical trial teams. The multidisciplinary team allows you to meet with 3 specialists one at a time so that you can make or start to form a educated decision on the path or course of treatment. I was told that I am young (62), and I am in good health, thus it made since to me to have a RP (kinda one and done was my hope!) I also consider my surgeon a rock star when it comes to RP, Judd W. Moul, MD is an Urologic Oncologist at Duke. I was told that the nerve bundles were spared, and the seminal vesicles and, lymph nodes were left un touched. I was in the hospital only 24 hours before I was home. I did have some pain associated with the cathater and was pleased to see it go after two weeks. Before surgery I had 4 or 5 sessions with a pelvic floor physical therapist. I resumed visits with the pelvic floor physical therapist 4 weeks after surgery. I was fully continent 8 weeks after surgery, I attribute this to the sessions before and after surgery with the pelvic floor physical therapist. I was back to work in six weeks. I have had two follow-up labs (every 3 months) for PSA, they both have been 0.01 undetectable. They did start me a a Penile Rehabilitation program right after the catheter was out. This consists of using a vacuum pump every day for 4, 5 minutes sessions. I also take Cialis (tadalafil) every Monday, Wednesday, and Friday (I have not noticed that this does anything?) to help blood flow to the penis. I am starting to get erections on my own, but still soft not hard enough for penetration. My penis will double to triple on side, but still hang down. I did start with Trimix about a month ago, and know have full erection from the injection of Trimix. I know that thought of sticking a needle in your penis is scary! Trust me it is not bad, and I love the results. I only inject Trimix once a week, Saturday mornings with my wife (this has made me fell somewhat normal). So that is my story and I am happy to friend or talk to anyone who may have questions or just needs an ear to bend.