For the past 30 years, I have treated men referred because of the adverse effects of prostate cancer (PCa) treatments. These patient complaints include lower urinary tract symptoms of incontinence, urgency, frequency, and sexual complaints such as erectile dysfunction and loss of libido. I have heard comments from these men such as “I wish I never had the surgery” and “I never thought I would not be able to swing a golf club without wetting myself” and “I can’t get an erection anymore- I didn’t expect that”.  Thus, I was not surprised by the findings of a population-based, prospective cohort study by Wallis and colleagues (2021). 

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