Anorgasmia happens with some RPs.  The British Medical Journal had an
article that stated, although not common,  it could happen in as much as 10%
of men with RP.  All I know is that for the first few years I kept trying,
and got a few bad 'burning' sensations in the beginning.  then even that
stopped.  Finally, after maybe hundreds of attempts, I stopped trying.  I
gave up on the erections, but hoped at least to be able to have an orgasm,
or the sensations of orgasm - something!

Now, after almost ten years, it is a moot point, I guess.

With any of these treatment options, you roll the dice, regardless of the
Pollyanna statements from Surgeons who want you on the table.  Anything can
happen.

Cancer2x

I sorta hate to refer to you as Cancer 2x but as long as you post
it...I'l go with it.

I understand no erections (I'm at 5 mos. post op without them) but
orgasms might be possible.

I know from your post that there is a certain pecentage that don't have
orgasms...but maybe...just maybe...with lube...and manual stimulation
and adult video...you might come close.

That is my hope for you...not a prescription.

Try as best you can...and then please...post again...we all want to
help.

Ron B.

Chicago

Cancer2x,
If you have not tried the shots, you might me suffering more than
necessary. They don't work for everybody, but when they are good, they
can be wonderful. I've used them hundreds of times, even after the
pills started to kick in, and even when I got enough erection back to
get by with nothing. The injection hurts, at most, about 1/3 as much as
as a fingerstick blood test. Once you get the medication and dose
right, you might be able to be as rigid as you ever were, for an hour
or so. A few months post op, my wife commented" You know, I don't feel
sorry for you any more. Every time you get the shot stuff out, you have
a big smile!" It's true.
Steve U

You might try Vitamin-V again.  While I went the Rad route, I also
had two doses of Lupron-Depot.   Things went flat for almost a year
so I understand your frustration.

During the Lupron time, I experimented with Vitamin-V and had some
good results.  I did not like the blue-headache either.
 

What I found was that the timing was critical and as the Uro said,
the vitamins don't work on their own, you have to want to do it and
you have to work at it.  

It's not enough to think "happy thoughts".  It takes the right
"touch" in addition to visualization, setting the mood, an eager and
squealing partner.   You can't just pop the pill and go.  

The way I look at it, the medical procedures left us (surgery and
rad both) sorta like the way women are.  

You remember when you were younger and if a woman said, "you
ready?" well, you were ready.  

But most times, it seemed to take hours and flowers and dinner
and poetry to get "her" ready.   Well, I figure that's the way we
are now.

Since I went Rad, I'm having a comparatively easy time.  Some
mornings I wake up "swinging heavy".   I get firm enough for
penetration.  I don't last as long as I used to, only 2 or 3
minutes.

I suspect the problem on the Rad side isn't that the radiation
damages the nerves or the valves, it's that without a good load of
prostatic fluid, we don't get the "If I don't empty this soon, I'll
go nuts" signals.  

So it takes a little more effort but then, that's part of the fun.

Like most rad-graduates, I can function without vitamins but a
little helps.  

  So few tries at helping yourself, makes alot of us scratch our heads in
wonder? Your choice.