Hello Holloben1,
Most people get some temporary side effects during the radiotherapy treatment. These can be a reduction in urinary continence, loose bowels, mucus farts, and a loss of ability to do just a #1 without doing a #2 too (so sit down to pee). These gradually resolve afterwards, urinary function first, and bowel functions second. Radiotherapy can also generate fatigue, although being fit before the radiotherapy and keeping up some exercise throughout can counteract this.
There is also the possibility of some late-onset side effects (starting from 3 months after treatment), but these are much rarer.
As others said, you may get an option of hormone therapy or not, but radiotherapy won't be optional. Hormone therapy has other side effects, but may slightly increase the probably of a long-term cure. It is for you to weigh up which option you want to take, but you might want to ask your oncologist what the difference in outcomes is with, and without hormone therapy, since that's what you're weighing against the hormone therapy side effects.
Edited by member 02 Jan 2022 at 15:32
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