Rayn,
Glad that gave you a chuckle. I was a little worried that I'd gone over the line with that comment.
To answer another question you had, he should ask the surgeon if he can have an epidural for the surgery. If they use that, then he gets much less pain meds because the block covers the pain. The pain meds increase the risk of ileus and helps the intestines to 'wake up' sooner. The sooner the intestines wake up, the sooner he gets to go home from the hospital.
I did not have it for my neobladder, wound up with an ileus, and that's why I wound up in hospital for 12 days instead of 5 or 6 days. It was hell on earth. It's amazing how terrible you can feel when intestines aren't working!
The single biggest factor in success of the surgery without major complications is the skill and experience of the surgeon. This is not something you have the local urologist do. This is something you get done at a major bladder cancer hospital with the best surgeon (does 50 or more a year) you can find.
We push people pretty hard on that around here. The ones that listen tend to have a pretty good story to tell. Those that didn't have some pretty terrible horror stories. That's the reason some of us push to the point of being real pains in the butt about it.
It is really not so bad living without a bladder. The prostate issue is a big deal. But, of those that get the nerve sparing surgery, are "up" and around (so to speak) in a few months. Some take much longer (up to a year or two) and still others never get erectile function back without using something to assist in the process. That can be anything from just taking Cialis or Viagra to using a shot (yes...there) or an pump implant. The feeling is still there and orgasm still happens, just nothing comes out. The shot is scary to think about and I went about 8 months before giving it a try. Then I was kicking myself for waiting so long. Teeny, tiny, short little needle but it had great result. Still, the idea of it is pretty darn scary. Once one gets over that fear and does it, it's like "Well damn, that wasn't so bad!" AND, it works!!! That certainly makes it work a little stick.
My point is, even if things don't work just as well as before, there are things that can be done to help the situation. Given the number of doctors and researchers that are men, you can imagine the amount of time, attention, and research money that goes into solving problems of this sort. It's not quite the same as for women, but that's a story for another day...
Mike