It is acknowledged that there are a myriad of acute and chronic co-morbidities associated with psychosexual concerns [1]. As radical prostatectomy is one of the most widely accepted treatments for prostate cancer [2], there are “to be expected” side effects of. There are conflicting rates of erectile dysfunction, which may not only be associated with degree of surgery, but also presence of co-morbidities [3]. Vascular, cardiac and diabetic comorbidities have the greatest impact [4, 2]. Age will not improve this function [5]. Additionally, if a patient has poor erections before surgery, this will not improve post-operatively [6].