Watchful Waiting	It should not affect your sex life.
Surgery	Having the prostate removed can affect getting erections. Talk with your doctor about whether nerve-sparing surgery can be used to allow the nerves that control erections to be kept. Medications and devices can help with impotence in many men. After surgery, the orgasm may be "dry," meaning no ejaculation. If you are interested in having children, you will need to preserve your sperm (sperm banking) before surgery (see the Resources section for a list of resources for more information).
Radiation Therapy	There is less risk of impotence with radiation therapy, but over time it may become a problem. Your age and overall health can affect impotence.

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