I didn't do any deep research which was a huge mistake on my part! My urologist simply said surgery will most likely result in urinary incontinence 10 years down the road and hormones/radiation will result in bowel issues about the same time. When I mentioned Dr Peter Welch's book and how he advised against hormone treatment she chuckled and reported he made a vested interest as he invented the robotic procedure.
20 months in I feel she is indifferent to my problems. I can live with ED but I wish I didn't have to drop my pants like a 3yo to pull the little guy out! To my notable cognitive decline she simply tells me I'm getting older. I keep gaining weight but I can't get my new knees until I loose weight. I went sailing last night and I couldn't maneuver around the boat. The "B Cuppers" that have appeared are more of a physiological problem than a physiological issue, although as it seems as I'm transitioning into a woman I wonder if a mammogram is in my future! Living with constant fatigue doesn't help and the body/joint pain really slows you down.
Other than some minor urinary issues I really don't think the radiation was a problem, but hormone therapy is. I was totally unprepared and in my case my doctor doesn't seem to be offering any help.