I avoided sitting on a bike saddle for three months after surgery, per surgeon's orders. I was apprehensive starting up again. I've used saddles with a center cutout for over 20 years. I started out on a bike trainer for 20 minutes, then 45, then on a bike path for 1 hour 15 min on 3 successive days. I used Aquaphor on my nether parts. Having no pain at all in the perineum, the only limiter after that was just slowly getting into cycling fitness.

I had been swimming, running, lifting weights judiciously starting 3-4 weeks after surgery. I waited two months after re-starting cycling to go off-road (gravel biking, not mountain biking now @ 75).

Now I am able to do whatever I want on a bike...ride for 4 hours in the mountains, stand-up, sprint, race triathlons. I don't know why it was so easy for me, maybe being a life long cyclist in multiple venues helped (bike commuting, racing, multi-day tours, etc.) But I give most credit to the surgeon...