I am just turning 69. I Had my RALP performed on 10/25/23. The surgery went very well. Removed 100% of detectable cancer and my PSA continues to be undetectable at a steady < 0.014. I had a wound in my bladder which took more time to heal than normal. Unfortunately, I got a really bad bacterial, urinary tract infection during the first 10-14 days wearing my FOLEY CATHETER. Ended up requiring a 10 day hospital stay to attend to that. However, after my immediate setbacks were resolved I’ve been fine to date. My continence is almost 100% normal. My erections are NOT. Before my RALP, I had strong erections and enjoyed very satisfying sexual intercourse twice a week with my incredibly gorgeous and sexy wife of 11 years. Occasionally, I would take a 20mg CIALIS tablet if my PEYRONES Disease was adversely affecting the quality of my erection. The CIALIS made me even firmer and harder with an incredibly strong erection. Unfortunately, to date, I can only achieve about 60% of a normal erection. Just enough to barely have intercourse. Post surgery, the CIALIS does absolutely nothing at all and no longer provides any benefits to me. I started using a penile pump about a month ago to increase the total blood flow in my penis as part of my Penile Rehabilitation. Additionally, the pump provides the opportunity to fill my penis with more blood and achieve a full erection. I can now guarantee myself and wife an erection capable of enjoying a pretty normal experience of sexual intercourse. I get very aroused, turned on and sexually stimulated by my wife. However, no matter what we do, I can’t get my normal erection, (without the pump), to exceed the 60% of normal stiffness to really enjoy stimulating penetration for me and my wife. Not sure why the pump gets me almost 100% erect but nothing else will. Obviously, it forces more blood into my penis versus what I can do. Additionally, by placing the penis band at the base of my penis after obtaining a full erection. This prevents all of the the blood from rushing back out of the penis which loses and discontinued your erection. I start consulting with a Penile Rehabilitation Specialist in several months to address these issues in more detail. Thankfully , I had a successful “nerve sparing” surgery and my orgasms are almost as enjoyable as my pre surgical “wet ones”when I could still ejaculate!. However, the “dry orgasms” still feel really good and are quite enjoyable! I realize I am still healing but I was told that whatever state of physical sexuality I had and could attain and perform prior to my surgery would return after my surgery. This has not been the case for me after 9 months following my surgery. I am thankful and grateful to be where I am at but I will need more improvement to really be sexually fulfilled and satisfied. Best wishes and good luck to all of my fellow patients out there who are dealing with the same or similar challenges.