I was worried about this before my procedure too. My surgeon was very clear with me and said, “I’m going to try to spare your nerves, but once I’m in surgery, my priority is to cure you of cancer.” In the end, I lost one side of nerves.

Before surgery, to improve my chances of sexual recovery, he prescribed me tadalafil 5mg daily, which I will always remain on, just to keep blood flowing properly. If you have not already, I would ask your surgeon about starting tadalafil before surgery as well. I also made a point of doing Kegels whenever I was sitting at my desk, in the car, and so on, which I think helped with incontinence.

For ED, after surgery, I started using the Soma Therapy OTC system: https://augustams.com/product/soma-therapy-otc-manual-system/
for about 5–10 minutes daily. It’s been helpful for keeping blood flow without using bands, basically just exercising your erection. For sex, I’ve had better results with the Vacurect pump: https://anactivelife.com/products/vacurect-1002-otc-ved-pump
since it seems to hold an erection longer.

I also have a meeting scheduled next week to talk about Trimix injections. I’m still hoping for some natural recovery, but honestly, I don’t know if that’s in my future. Wishing you the best as you go through this.