Men in their 40s have the best potential of potency returning after nerve-sparing radical prostatectomy. Men in their 70s and older have significantly diminished potential to regain potency, even if they have nerve-sparing surgery. The skill of the surgeon. However, other studies report a much lower percentage of patients achieving potency following nerve-sparing surgery. It is important to remember that surgery is a traumatic procedure and your body will take time to recover, as will the ability to have an erection.
Most men experience an improvement in their erections over time.
During the first three to 12 months after radical prostatectomy, most men will not be able to get a spontaneous erection and will need to use medications or other treatments if they wish to have an erection. After surgery, men experience dry orgasms in which there is no ejaculation. The vas deferens , the tube which transports sperm from the testicles, has been shut off. This lack of fluid emission has no connection to, and does not interfere with, a man's ability to feel sexual desire and arousal, or achieve orgasm. Unlike radical prostatectomy, radiation therapy may cause problems slowly and over time.