@graybeard46 After surgery, I was able to get an erection. That went away when I was put on ADT. My wife and I had what we called “lesbian sex” for three years. Since the IPP implant, we are able to have sex the “old fashioned” way and it has worked out well. An IPP will make penetration possible, but will not make sensation or orgasm any better. From what you’ve said, I would suggest trying to get things working with masterbation before getting an IPP. It is a major surgery with a six week recovery period. For me, it was worth it, but without being able to have an orgasm most of the time, I think it would probably be an unnecessary surgery leading to a lot of pain and frustration.