April 18 and 25, 2023. No pain during or after the process. I didn't take any pain medication. There is some tenderness after the procedure, and you won't feel like sliding down a banister or riding a bike for a while. The worst side effect is that the prostate swells a bit and can slow your stream. They put you on tamsulosin (generic Flomax) for a month or so. I stayed on it two months and doubled the dose for three days. That keeps you flowing. I have a slower stream now, especially when I am drinking lots of tea. I seem to do much better with just water. Caffeine is a bladder irritant. I had five cancerous lesions (PI-RADS 3, 4, 5) with mostly 3+4 with a couple 3+3. There is no great choice, only deciding what you are going to live with the rest of your life. I understand that, for most people the side effects can settle down after some time. I still have a slower stream (though not all that annoying) but I don't have to wear pads. With ALL procedures you will lose your prostate, which means no more ejaculate except for a bit of pre-seminal fluid (half-teaspoon) produced by the Cowper's gland. I waited a year before having anything done but my PSA started jumping (5-8-11) and a second MRI showed the big lesion was pushing against the capsule (prostate skin) with the risk of breaking out.