1. The more you know, the better the recovery.
2. Seeing a specialist before surgery can improve chances of a return to presurgery sexual activity.
3. There is a finite period following surgery in which to prevent long lasting ED.

The MD listed above is in NY metro area and has had success with this type of protocol with my other half. Get in touch with him to see if you are a candidate for his treatments.

The promise of “cure” implied in we “got all the cancer,” despite an expected biochemical failure rate of over 20% even when there are no positive margins, can perhaps be equated to promise of recovery of erectile function implied by the nerve-sparing technique. It seems too that many men are told that there will be a continuous recovery during the 12 months after surgery and maybe longer — or at least they report that is what they heard. When they hit the 12-month mark with no improvement it must be disheartening.

Other aspects of bother must surely relate to the leakage of urine at climax for those fortunate enough to have a stuffable erection. Some men take this in their stride, others find it less palatable, but very few seem to be told of the probability of this occurring.

Peyronie’s syndrome is another aspect that seems to be more common than expected and rarely discussed prior to the procedure.

All in all these must increase the bother rate once the relief of ‘cure’ is over, especially with the publicity given to unneccessary treatment.