Someone mentioned that not enough guys experiencing positive post-RP results comment on this portal. Here's my journey. 62 yo, I had RP almost 5 months ago.
Incontinence was significant the first two months, to the point that my daily activities were very much effected by embarrassment, shame and fear of public humiliation. It began to improve in the third month and the progress was steady to present. For most days, I'm mostly dry, with occasional stress-leakage. All of the above is not relevant if I consume alcohol, in which case it's nearly a free-flow situation. I still wear some kind of leak protection, and more often that's by using some of the boxer-briefs that have an absorbing panel in front of the penis. They work surprisingly well. I think paranoia keeps me from NOT using the protection, because during a recent vacation I found that just wearing board shorts during water activities was fine.
Erectile dysfunction. Initially, there was very little erectile response. My surgical team advised to not even try for one the first six weeks, during which I was on 5mg of daily Cialis. After that period, I had some slight stiffening, and sometimes enough for penetration, but it was inconsistent. Full doses of Cialas or Viagra helped.
For the first three months post-op (and because of both of these condition) I believe I was suffering from significant depression as a result of grieving and fear.
Around the fourth month I read somewhere that besides the obvious physical implications of the surgery there is often a psychological factor that contributes to the ED. From that point on I've made a couple adjustments that seem to help. First, I make it more of a priority to masturbate often, while simultaneously keeping my expectations low and a focus on enjoying the physical sensation. Additionally, my wife and I are more diligent around including more arousing activities pre-sex (flirting, talking, erotic material, etc), and again we keep the expectations low regarding an erection. I acknowledge that some of the above might be controversial, but we're pretty open to any idea that might improve the recovery.
From the fourth month until present, the incontinence, the erections and the emotional/psychological has improved. I set aside some time recently, without the ED meds and attempted to achieve an erection. It was mostly successful, but it required more than usual stimulation and patience.
Orgasms are slowly returning. I find that there is very much a mental component. If, during sex I can maintain a strong level of mental excitement and stay "in the moment" then the climax is very enjoyable. On the hand, if I become anxious about performance or my thoughts stray to places that aren't highly aroused then the orgasm passes and is barely noticeable.