I am 54. I had robotic surgery in late September 2004. Both nerves were spared. I started taking 50 mg. Viagra three times a week one month after surgery. I also began using a Osbon ErecAid pump one month after surgery to induce an erection every day as therapy. This has also helped me regain size, since there is some shrinkage of the penis post-surgery. My doctor also wanted me to start using TriMix shots four months after surgery, but so far I have declined, hoping that things will get better on their own. There has been improvement. I feel a lot of stirring and can maintain a little bit of firmness after using the pump. If I use the rings with the pump, I can retain an erection, although it is not really sufficient for sustained intercourse. I am being patient, but may try the shots if things aren't better after one year. I can have a manually induced orgasm without an erection. It's different without ejaculation, similar to a child's orgasm before gaining the ability to ejaculate. But there is intensity and release. I think it will seem more natural once I am able to have sustained erections. I had hoped to make better progress, but who hasn't always hoped for a better sex life. I am still able to satisfy my wife and we have discovered more intimacy because I am not being driven by all of the normal urges to get the job done. I still enjoy sex. And I especially enjoy being cancer free. That is a tremendous gift. I should mention that I have high blood pressure, borderline diabetes and take several medications. Those are also contributing factors to my ability to recover potency. I am working hard to address all of those to remove as many barriers as possible. I believe that I will regain the ability to have erections and I am glad that I didn't let this concern change my decision to have the surgery that I had.