Zzarth, I can share my experience on the subject and most recent question: Yes, the dry orgasm took a bit to get used to, but I can say for myself and my wife, it's a non-issue--and it has it's benefits (no mess). A little "astroglide" keeps things moving, as it were.
From the sensation standpoint, personally I think the orgasms are better. More intense, longer lasting. Sometimes, it feels like what I've read women write about
the 'whole body orgasms' that they can have.
I can also share, on the subject to general ED, what my surgeon told me, before the fact: In his opinion and experience, post RALP ED is significantly dependent on (a) the surgeons skill level, (b) the specifics of the surgery (how close to the nerves did they need to cut, how easily did the nerves come loose, etc), (c) the patient's overall health pre-surgery--things like overall fitness, other medical issues like BP and obesity, and (d) sexual functioning pre-surgery. The way I understood it was that if your sexual functioning is graded on a 0-10 scale, with 10 being how it was when you were 18, and 0 being can't do a thing to get willie to rise to the occasion, by our middle age years we've all move down the scale some. Best case, following RALP, we can expect to move down the scale a notch or two. Worst case, of course, is to wind up with nothing.
Personally, I had a night erection just a few days after the catheter came out. Surprised the heck out of me (and woke me up in pain because willie was tucked down by the heavy pad I was wearing to sleep, ouch). Starting about
week 4 after surgery, we started messing around, and never looked back. Yes, I take 2.5 mg of cialis daily, and yes, lube is required (both for me and for her, she's through the change) but no biggie.
Age at Diagnosis: 56
Biopsy: 3 of 12, G3+3, all on LT side, 20%, 5%, 3%
Clinical Stage T2C
Bone Scan, CT scan negative for spread
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
58.5g, G3+4, 20%, 4 quadrants involved
PSA 3/10/15: 0.10
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024