Erections post radical prostatectomy
My 55 year old husband has been diagnosed with PCA, Gleason 7 (4+3) with MRI revealing a grade 4 tumour in one side of prostate with an area of capsule where integrity is questionable. MRI also showed lymphadenopathy which we are assuming may be mets with off chance they are reactive lymph nodes instead as he had elastic ligation of hemorrhoids 10 days then again 3 days before the MRI (not ideal timing but MRI appointment was last minute). Bone scan and CT ok. Currently waiting for further consults on options but scheduled for RP early November as surgeon feels best option for his age and test results. From my attempts at researching RP side effects, erectile dysfunction very common, mild to complete. Surgeon told us expect 80% of previous erectile firmness at one year post RP. This seems very optimistic compared to information I have read however a lot of the study information on good old Google scholar comes from older surgeries prior to the anatomical research that improved nerve sparing surgical techniques. What we would like is more facts. We would like to go into the surgery (if that is final decision for next step which at his age sounds likely) knowing realistic expectations for post surgery complications including marked decrease or absence of erectile function. The 80% of original erectile firmness but otherwise no concerns seems overly positive to me. If true, is great. If not, that info leads my husband towards unrealistic expectations. We would like to be prepared based on scientific facts rather than wondering if surgeon just trying to soften the blow when delivering information on his cancer and treatment plan. Thank you for any additional information you may have or can direct us towards.