I just watched again Dr. Mulhall's video on YouTube about penile rehabilitation as it's practiced at Memorial Sloan-Kettering. He isn't too far into the presentation when he discusses what can happen at about the 3 or 4-month point post surgery. Some of the guys who have been having erections as soon as the catheter is removed (or even before) suddenly find that the erections stop. The nerves "go to sleep" and they suddenly find themselves struggling with ED.
Recovering sexual function seems to have a high degree of unpredictability. To say, "you'll be fine," no matter how well intentioned, can be very misleading. It seems to me that with PCa, nothing can be taken for granted.
Approaching the 8-month mark, I'm not seeing anything happening, though having lost one nerve bundle, I guess that's not surprising.
that would be a bummer, wouldn't it?
Every urologist and surgeon I spoke with told me that nowadays, in the hands of a highly skilled surgeon, if you're in good shape going in and young, and if nerve bundles can be saved, chances are you'll recover within a few years. How soon within those few years being unpredictable. Were they just BSing me to make me feel good? I don't know, but they were right in my case and in many others I know of first hand. Even many here and more on Yana report steady progress.
I know some who recover full sexual potency before recovering urinary control. One even told me how he puts a towel on the bed and urinates in/on his wife every time they have sex ( now there is a dedicated wife ).
The one thing my first urologist said that definitely isn't true is regarding quality of orgasms. I swear I was ready to deal with that and accepted it without too many complaints. But in my case ( and others here have advised on the same), orgasms are better. It's funny, when I would ask "so are they worse" before my surgery the standard answer was " don't look at it as better or worse, look at it as different" but I think they are better. So much longer and weird waves.
You're only 8 months out, you have a lot of time to heal still and first hand account of many many people demonstrate that there is a very good chance you will. I think our mental approach has a lot to do with the success possibilities so keep your hope and optimism alive.