Hello @rbx4 & Katekat, Since I had radiation theraphy & androgen injections , I cannot relay any first hand experience on radical surgery. I can, however, make a few general comments based on my experience of prostate cancer and in listening to others who are in a similar position : -There is no perfect solution for prostate cancer; whether one elects to have radiation ,androgen injections or radical surgery or a mix of all. Even if one elects "watchful waiting" there may be a downside in that it may reduce one's life expectancy and there is always the ongoing stress of uncertainty The best advice that I had regarding the downside of treatments was: -just accept the downside of theraphy provided that you have had the best professional help available with second opinions. (Expecting to be made whole again as per one's position before prostate cancer can be considered unreasonable and, IMO, can lead to depression) -Dont overthink it; there is a host of fantastic/positive things to dwell on. -Keep in mind that the treatment of cancer is all about short term quality of life vs longevity . -forgoing a 'normal" sex life for me is by far more acceptable than having my life shortened by 15 years by cancer. -Catholic clerics & nuns forego a normal sex life for life (or they are supposed to) in lieu of the hereafter benefits and one cannot detect that they are less happy than the "practicing/bonking" laity. -ACT (Acceptance & Commitment Theraphy) is very useful in the shorter term to facilitate acceptance of one's current position, minimise suffering by seeking to accept the things that one cannot change , focus on the here and now, be positive and not catastrophise the present or the future and this can be done one small step at a time -Just imagine yourself a newly arrived androgenous Martian who has dodged the Morrison-Dutton blocade ( a jet person-not a boat person) having a Captain Cook at a pair having sex: I'm sure it would look funny and perhaps at our age this is how we should be looking at it too & not regarding sex as a dire/dour/essential part of our daily existence. Perhaps others who have had radical surgery would care to comment on their personal experience and their coping strategies with the downside of radical surgery*. Cheers & a long and happy life ZOL * keep in mind that radical surgery may not be the end of prostate cancer and that , on occassions, radiation & androgen injections may be needed later.
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