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Anon, I know about six other chaps who used the same highly recommended surgeon as myself for the radical....and none have any incontinence issues. None of us even do kegels. The top surgeons seem to be pretty adept at protecting against incontinence. We all had issues of some sort with erections and needing viagara which helped somewhat...but you 'never' get fully back to where you were in this area. Kind of a small price to pay at our stage of life to pretty well ensure staying alive.