I routinely use prism finders on my Rolleiflexes mainly because the laterally reversed view through the waist-level is too weird & slow for me. The bulk of my photography is candid shots of people, so I generally need to shoot quickly. I've found that even a 45 degree finder (I use 1 from a Kiev via an adapter), though laterally correct, slows me down too much. I'm sure I could adapt if TLRs were my primary or only cameras, but they aren't & I'm mainly an RF & occasional SLR shooter.
Yes, TLRs are obviously designed to be used w/the waist-level VF & the prisms are relatively heavy, but for me the slight ergonomic disadvantages are far outweighed by being able to shoot faster & more intuitively. In my experience, using the sportfinder isn't a very good substitute as I'm not a pre-focuser & accurate framing becomes difficult @ close range. Also, since I'm already short, using the waist-level VF often forces me to shoot from way too low of an angle.