Recovery from RALP
Hi, new to the site and trying to get information. I am 60, slim, in good physical condition, until recently a healthy sex life. Earlier this year was diagnosed with an elevated PSA and a very enlarged prostate. The MRI scans showed a size of 150cc with areas in the prostate peripheral zone designated PIRADS3, a trans perineal biopsy gave indeterminate results, a repeat the same. The course of treatment decided on was RALP followed by active surveillance. I was told the surgery would be nerve sparing but with surgical side effects and time required for the body and nerves to recover from the trauma. I was told by the surgeon immediately afterwards that the procedure had gone very well. I recovered quite quickly and only had minimal problems with leakage, I would sometimes get a gush of urine shortly after having finished what I thought had emptied by bladder, otherwise fine. I had the RALP in early March 2026, by May I was able to resume sex with my wife. This in when things started to go wrong, I found I was unable to achieve a properly hard erection. I had get moderately hard but am floppy and my penis doesn’t really stand up, it is like it is not anchored at the base. On top of that I am noticeably shorter, I was lucky to have 7” pre-op, I am 5” now, just about enough. I am able to penetrate my wife, just, but because of the floppiness tend to fall out and am not able to satisfy her this way, I use other methods. For me to get an orgasm it has to be done manually, but it doesn’t feel the same. I not not able to ejaculate, I was warned this is inevitable and also do not feel any internal contractions. It is still pleasurable but has an entirely different feel to it, no pelvic contractions, no spurt and more a kind of tingling sensation. I wondered if others here had had any of these experiences and did things change over time. My wife says I should consider myself lucky, I can still perform after a fashion and have a PSA which is just in the acceptable range. I guess she is right after reading about some difficult experiences on here but if I am honest about it I feel less of a man. I feel for the guys on here who’ve had to go through ADT and wish them the best possible outcome.