I had a radical prostatectomy in April 2016 performed by Dr. Jean Joseph at Univ. Of Rochester, Strong Memorial Hospital. I was very fortunate that this very skilled and expert surgeon was able to spare my nerves so I am not impotent but still have some degree of ED. I have a pump which I rarely use. I was on Cialis but it was too expensive. I now take Sildenafil (viagra) 10 mg a day. This is helping. An additional 50 mg as needed (for sexual activity) enables me to have erections (sometimes) sufficient for penetration.
The other side-effect, incontinence, has proven to be more problematic. Twenty months after surgery I am still in Depends undergarments. There was definitely improvement for a long time and there may still be but if so it is too slow to be noticeable. I do kegels daily and am in very good shape at age 67. I work out regularly and am not obese. I do not have diabetes or high blood pressure. I had some physical therapy in Binghamton, NY but did not follow through with it because I was moving. I am now in Montreal and I need to find a General practitioner and a urologist here. I am wondering if more improvement is possible and if I should try physical therapy again or consider surgery (male sling). Your advice and the benefit of your experience would be greatly appreciated.