No erection after 5 years after radical prostatectomy

For what it is worth, orgasm is still possible even without an erection. This can be accomplished either with a willing partner or solo. I have had orgasms that have been every bit as deep as I had when I could still have erections.

For what it is worth, orgasm is still possible even without an erection. This can be accomplished either with a willing partner or solo. I have had orgasms that have been every bit as deep as I had when I could still have erections.

What I want to know is what the "neurovascular bundles" are "really" for, and why are they mentioned in the surgical report as having been preserved during the surgery, if they are perhaps "not" involved in achieving an erection? I was told by my doctor that they are for sexual function, yet I haven't had an erection in over eight months post-op (DaVinci Robotic-assisted Radical Prostatectomy). Here is an "AI" response to my inquiry about the bundles:
"Neurovascular bundles (NVBs) are critical anatomical structures in prostate surgery. They are located alongside the prostate gland, specifically flanking the posterolateral surfaces. These bundles contain essential autonomic nerves and blood vessels that play a significant role in erectile function and urinary control.

Key Functions and Importance:
Erectile Function: The nerves within the NVBs become cavernous nerves as they enter the corpora cavernosa, which are vital for achieving and maintaining erections.
Urinary Control: The NVBs also contribute to urinary function, making their preservation crucial during surgical procedures.
Surgical Considerations:
Nerve Preservation: During radical prostatectomy, preserving these bundles can lead to better functional outcomes, reducing the risk of erectile dysfunction and incontinence post-surgery. Studies indicate that preserving both bundles is more beneficial than preserving just one.

OK...so...if they are critical to erectile response and the urologist preserved them during surgery, then why can't I get an erection? Unless...the urologist/surgeon DIDN'T really preserve them, but lied in their surgical report. Who could ever check? How could anyone prove or disprove that they were preserved?

@rlpostrp My doctor also said he preserved all of my nerves...I never had incontinence but my surgery (not Da Vinci robotic) was January 2, 2020...almost 6 years ago and I still can't get an erection with getting a shot of BiMix, but it works, not perfectly but enough. I hope your situation improves more than mine...but I have no detection of caner with a PSA test every 4 months since my surgery and I can still hug my wife, my kids and my grand kids...I've tried to focus on the positive parts of my outcome...I'm alive an healthy still at 70 years old.

For what it is worth, orgasm is still possible even without an erection. This can be accomplished either with a willing partner or solo. I have had orgasms that have been every bit as deep as I had when I could still have erections.

@rlpostrp The reason is that “having been preserved during the surgery” is medical-speak and can mean different things.

Even the phrase “nerve-sparing” needs to be discussed thoroughly — Is it 100% of both nerve bundles? 100% of one and 0% of the other? 75%/25%? 50/50? 25% of each? 10% of each? Or some other %? Even touching and moving the nerves damages them. The surgeon should have discussed the possibility with you.

Did you specifically have “nerve-sparing surgery?” Or just standard surgery and he would try to save some nerves?

It should be spelled out in the report.

@brianjarvis My doctor called it nerve sparring surgery...he also said the tactile touch of a human is better than the robotic...in his opinion...but I've never been able to have an erection on my own without a shot

@koji480 I agree...I've never had any kind of erection in now almost 6 years...but I can have an orgasm...sadly mostly on my own and not with my wife...but I'll keep trying with the BiMix...

@koji480 How ??? Hard to believe

@onestepmore Have you looked into getting an IPP implant? I got one a year ago and my wife and I are both very pleased.