@jeffmarc
I often hear on this board patients discussing how they have no ED after radiation. I wonder if their Doctors sold their radiation option that way over surgery without the caveat, but yes in two to three years you will definitely have ED because we fried your nerve bundles. Their is no coming back from that after radiation. I personally feel Surgery gets a very bad rap about ED, because with many with localized cancer, nerve bundles spared and the Retzius sparing surgery, their ED goes away fairly quickly with use of like viagra, and for many they have resumed normal relations by 18 months post surgery even without drugs. Incontinence is even way down with the newer surgeries. I think many are living in the past when they think of prostate surgery. Will everyone have the same results, likely not, but way more today fare way better than in the past. Results between radiation and surgery for localized cancer may be the same when they measure the cancer itself being gone, but the side effect difference can be huge. So many radiation side effects including rectal and urinary issues can come two+ years later . Your ED will definitely come . I really don’t think patients realize that.