I was diagnosed at age 48 (T3bN0M0), I was given the choice of RALP or Radiotherapy. In fact I was recommended RALP by one surgeon, then Radiotherapy by another. It made choosing rather hard!
In the end I went for Radiotherapy after being told surgery would be non-nerve sparing and I would most likely need salvage radiotherapy. I think the salvage radiotherapy dose would have been less than have radiotherapy as the primary treatment. Worth checking this if you do ask about it as an option
Finished Radiotherapy 3rd December 2024 with a session of HDR brachytherapy on 19th December. Not enjoying the hormone therapy that goes with it so much, but it bearable. (15 month to go!) Though it can be quite unpleasant for some.
So. So far so good, no issues with incontinence, erections achievable, though the HT make it more of an effort! Hopefully will go back to normal once off it.
However it's the long term effects of radiotherapy that have to be considered going this route. ED can become a problem as can bowel issues. I thought it was worth the gamble for quality of life now.
All the best
John