BillyH. UCLA doctors recommended to me that I have a RP and leave the option of Radiation for later if and when the cancer returns. If I started with radiation,I may have limited my future options.
I have a Gleason 9, advanced, aggressive , Castration resistant, stage 3C PC, so they tell me. The RP did initially left me incontinent but that quickly resolved. A BM has been a little difficult but that is getting better. My surgeon said that he went wide and may have cut a nerve. Good luck to you and all of us on this site.