For those of us who have forgotten Golan's history, here is the link to his first thread: www.healingwell.com/community/default.aspx?f=35&m=3145436&g=3145513#m3145513
Golan, you received a lot of great advice on that thread and hopefully you are considering it. I was not a surgery patient but after 6 years on this forum and reading numerous studies, I think I can give you some response to your questions.
1. What is the absolute best case I could end up with after RP (put a different way, is there any chance at all I could get back to they way I am now)?
Best case scenario is a return to full sexual function with no ejaculate. Davidg is one of our young members who has this result and perhaps he will chime in on this thread.
2. Based on my age and current sexual function, what is the crowd sourced expectation of things after surgery?
General statistics of RP patients would say they have a 50% chance of having ED. With your age and history, assuming you choose a rock star surgeon, my personal guess would be that your chances of full sexual recovery are 80%+. Of course, remember I'm just some internet yahoo and am not a doctor.
3. And what about
the benefits? I do spend a good deal of my time (too much I feel) thinking about
sex and acting on it. Maybe if I had changes to my sexual function I would not fixate so much on it? Or is it the worst case, constant thinking about
sex and then problems implementing it?
I can't begin to comment on this one.
As an addendum, I'll just suggest that you get multiple opinions from non-surgeons as well before you make your final decision.