I had a radical prostatectomy in 2009. (No measurable PSA since then.) One of the results was ED. In 2011 I had a penile prosthetic implanted. It took a little time to get used to it, but it wound up being at least satisfactory, if not a little better than that, both for me and for my wife. The expected life of the implant was 10 years, and mine lasted almost exactly that long. So in 2021 I had the dead soldier removed, and had another virtually identical prosthetic installed. The results were almost identical, except that the new one is somewhat more difficult to deflate. It does reduce spontaneity somewhat (it takes a little more than 5 minutes to inflate), but it performs the way it’s supposed to. I’m 81, so I’m guessing that it’s working better than if I had never had prostate cancer at all. It certainly never says “not today, dear, I have a headache.”