I had RP 2 years ago when I was 74, Gleason 9 CR locally advanced PC. The surgery was Ro Bo, no real pain, catheter for a week ( an irritation but no pain) . Only Tylenol for pain for a day or so. Afterward, ADT for 6 months. Again no pain, but little energy and no libido. It was a necessary procedure to deal with a life threatening cancer. I think that the RP was a correct decision and I am hopeful for a long term good result.