I, too, am one year post RARP (Mayo Jax). Non-detectable PSA. Very minor stress incontinence (heavy/strenuous exertion results in small squirt or dribble). Have resumed all activities. My issue seems rather unique. Perfectly sufficient erections, but no orgasm. Initially was prescribed daily cialis, with no effect. Added viagra on demand, no effect. A bit annoying/frustrating. Get aroused, feel a sensation in base of penis, but just can't get over the hump. Even ordered up some Rugiet. Urologist just scratching his head, saying he doesn't know what else to tell me. Referred me to a sexual health specialist. Will see how that goes. As for now, trying not to get discouraged; moving forward with the "practice makes perfect" attitude. I can be honest and say I never imagined I would miss the orgasm this much. Said the 65 y/o in otherwise great health. On a positive note, the golf game has never been better. I attribute that to better focus, as I'm no longer thinking about sex with every other thought. LOL!