So it’s been four years since my radical prostatectomy. How am I doing?
Status
PSA remains undetectable.
Incontinence
No real change. Stress incontinence remains a minor issue for me–sneezing or coughing are the worst, especially if I’m standing. If I’m seated, it’s less of an issue. The vast majority of days for me are “dry” days, but there’s an occasional day where I guess my body is tired and I’m a little more prone to issues. Interestingly, my urologist discussed having some sort of “sling” surgically installed, and gave me a DVD to watch about the procedure and its benefits. He was quick to offer it up as an option, so I have to wonder if it’s just a push to get some more cash in his account. I’ll take a look at it, but I doubt it will be for me. Certainly, much research will be needed if I find it of interest.
Sexual Function
Remember that they took one of my nerve bundles, but I have to admit that I’m pleased with my progress without the use of a pill, slow as it has been.
I can achieve about an 80% to 90% erection under my own power most of the time. Some days it’s easier to achieve a full erection and others, I don’t every quite get there.
Orgasms for me are pretty much the same as they were pre-surgery, although perhaps just a tad shorter in duration and less intense.
Summary
Overall, I’m pleased with where I’m at–cancer-free and pretty much back to normal functioning with minimal inconveniences.
Dan's Journey through Prostate Cancer 
Hi Dan I have just read your very helpful blog whilst in my fourth post op day of radical prostate removal. I have been in excruciating pain from the incisions along with gastrointestinal gasses which on occasion have brought me close to tears.
Your writing has given me motivation and the drive to make my life as normal as possible, thank you.
LikeLike
Hi Spencer,
Thanks for your comment. I’m sorry to hear that you’re struggling in your initial days after the surgery. I remember having the same issue with the gas immediately following the surgery. It was not fun at all. Let your body–and not your desire to return to normal–guide you on how quickly you can resume activities, and keep your physician in the loop. When I had my post-surgery infection that sent me back to the hospital, I was in contact with him nearly every day once I was released the second time. It helped him better understand what I was experiencing, and it reassured me along the way.
I hope that things improve for you quickly.
Dan
LikeLike