Hi, mine had spread so no option of removal, removal in itself has sometimes major side effects. I'm no expert in the removal side effects but I know plenty of people who opted for this and the fall out varies greatly between them. Some end up with partial incontinence, slot with impotence. Unfortunately if you are on hormone treatment too, that's the way it is. But hey your still about to laugh about it.
Radiotherapy side effects for me were short lived. The main one being fatigue, I had 26 sessions with one day off per week, the hospital was an hour each way so it was always a race back before I swamped the car seat. The fatigue really is accumulative though, by the 20th session I was pretty much on my hands and knees getting up the stairs.
Once it's over though, if you keep active and have a positive outlook you recover pretty quick and all that's left is 3 new free tattoos.
All I would say is have a good think and read all the literature you can before opting for removal as treatments move on and you never know what's around the corner.
Radiotherapy hit me way harder than chemo ( at least with chemo, you have a break) but it effect everybody in different ways. Saying that I was on my bike within 3 days of completing my course and have never looked back.
Good luck with whatever way you go.