I was one of the lucky ones with respect to erections. Within a few days of the catheter being removed, I was getting a rock solid erection without any drugs and to this day, 3 years post op, I still can get a rock solid erection without drugs. In the last year, I have now been getting nocturnal erections like I use to get prior to surgery.
The one thing that is very different is that I can not achieve an erection no more from just visual or mental stimulation. Prior to my surgery, just thinking about sex or looking a picture of a naked woman was enough to get me a rock solid erection. Now, I can look at naked women 24/7 and nothing happens. The only way I can get a erection now is with a lot of manual stimulation.
You asked the question about dry orgasms and orgasm intensity. First of all, my orgasms are no where near as intebse now as before. They are about 50% of what I use to have.
With respect to dry orgasms, don't I wish!!!! I would give anything to have a dry orgasm now. When I have an orgasm now, I ejeculate urine with such force, I can hit the ceiling. Even if I try to empty my bladder before sex, I will still ejeculate some urine. It is really frustrating because I am 100% continent at all other times, but as soon as I starte getting sexually aroused, I can feel my splinkter muscle relax and I will start to drip uncontrolably and ejeculate urine. So now everytime I want to have sex, I have to lay towels all over the bed so I don't wet the sheets and drip on my partner.
The uro told me this is a common problem that happens after surgery that surgeons don't tell you about, and there is nothing you can do about it but learn to live with it. My uro said that urine is steril and if you get some in your partner, not to worry , but trying telling that to a woman.
Age 56, Biopsy 6/2007 - PSA 4.5, 2 of 12 with <5% cancer Gleason 6
Surgery 9/2007 Strong Memorial, Rochester NY with Dr. Jean Joseph (1300 plus surgeries)
Path - Negative margins, cancer in 20% examined tissue, Gleason 6
Post Op - No ED issues, full erections without drugs, used 5-7 pads a day for 3 months. Now dry except for stress leaks now and then.
All post op psa's <.04