I can squarely disagree that a blanket statement of guaranteed incontinence and ED is accurate. I had RARP almost four weeks, ago, had an erection within hours of leaving the OR and all but a couple nerves were spared, and I've had "wood" multiple times a day since, even on demand. I also have not had a single drop of incontinence.

I realize that dodging both bullets is pretty rare, as 85% of men have some form of incontinence - be it a single day or years on end, and about the same percentage have some form of ED as well - but neither of these are guaranteed.

Everyone's results will vary and the surgeons skill is absolutely a factor in saving the nerves, without any doubt - and saving the nerves gives you the chance to not have or to overcome ED. Incontinence, in many cases, can be corrected via pelvic floor work or even with surgical options such as slings and artificial sphincters.

I'm sorry that your experience was on the bad side of the equation, but it's not the guaranteed outcome for all people.