Thank you for your reply. I’m hoping to avoid ADT, which is the main reason I’d opt for surgery, as radiation will require associated ADT.
I’m specifically interested in the difference between regular penile orgasm, which I think you’re discussing, and prostate centered orgasm, more typically associated with direct prostate stimulation (massage or “milking”), sometimes described as male “G-spot” orgasm, which can be much more prolonged and “shuddering” than penis-centered orgasm. It’s often reported as an intense full-body orgasm. I can’t find any discussion of this at all with respect to interventions for prostate cancer.