For me it was too late for other options. Size 119, PSA 20.
Other options are usually limited to size 80.
I am fortunate enough that no cancer was found.
Can't say too much about sex life yet, not too much in the mood while still fighting with urinary infection, taking antibiotics and still limit activities (no bicycle, no motorbike).
But yes, willy still works somehow and climax is reached (better or worse, too early to tell). So sure you know you are finished.
But of course you and your partner have getting used to the fact that all remains dry.