What you say is indeed true but the cure rates are very similar and while you can’t usually do surgery after radiation, there are other options on the table.

Just my opinion but the given the equal cure rates, side effects should be the main driver in decision making here.

Consider this…even with the very best of surgeons from centers of excellence the incontinence rate after 1 year post RALF is nearly 20%. It is a bit like the Mike Tyson quote that “everyone has a plan until they get punched in the face”. That is a lot like testosterone enabled but just diagnosed men. We think we are unbeatable. We think we are sure to be part of that other 80%. We really need to become better mathematicians and look at the probabilities.

Still, I am only expressing my own opinions and I have been wrong about many things many times. Married twice so that in itself should be indicative of my many flaws.

I just want folks to hear things from all sides.