Willie: that's a great question...
Continence: Before surgery, I had some BPH symptoms--incomplete emptying was common--so I had some drips and leaks from time to time. Today, the drips are less predictable as far as frequency, but the volume is more or less the same. My definition works like this: I was continent before, so I'm continent now.
ED: Before surgery, I had occasional issues with ED, to the point where I was occasionally using a pill. Now, I'm on the pill daily, with no major issues. It's different--it takes longer to get there--and it takes more direct stimulation--but everything works when required. My wife and I are both 60 now, and she has been through the change, so the libido just isn't what it was at a younger age. I will also say that I've been surprised (pleasantly) by another difference: the sensations are as good--and sometimes much better--than before. I'm not sure why that is, but it is true.
I have a general comment on ED--and it is also related to some other things my surgeon said: Whatever (be honest) your ED status was before surgery....not what you remember it being when you were 18...expect it to move down at least one or 2 notches on a 0-10 scale. So, if "10" was what it was like when you were 18--and "0" is nothing happening at all, not even being interested (this is the guys on Lupron), if you were at 7 pre-surgery, then you probably will come back from surgery no higher than 5 or 6 without meds. We need to be really careful--and really honest about
what we expect--and about
where we were before.
I've seen some comments by guys who are fully functional post surgery---but who have a lot of negative words about
the loss of ejaculate. There is a lot of this that is in our heads. We think the surgery has permanently un-manned us, so we build a life around that belief. In fact, we can also use the differences to become better, more caring, more honest men, who find ways to satisfy ourselves and our partners in better, more creative ways.
Age at Diagnosis: 56
RALP on 2/17/15, BJC St. Louis, Dr. Figenshau
58.5g, G3+4, 20%, 4 quadrants involved
PSA Non-Detect since April, 2015
My Story: www.healingwell.com/community/default.aspx?f=35&m=3300024