This topic is about dealing with erectile difficulties after undergoing surgeries for colon and bladder issues, as well as radiation and chemotherapy treatments. The person sharing their experience had a total colectomy in 2006 and bladder removal in 2008, with extensive radiation and chemotherapy before these surgeries. Since then, they have been unable to achieve an erection and are curious if others with similar experiences have found any solutions. Although they can still enjoy and provide sexual pleasure in other ways, they wish to regain the ability to have penetrative intercourse.

Here are some insights and advice shared by others:

1. It's common to experience erectile dysfunction after surgery and radiation. Nerve recovery can take a year or more, and full pre-surgery function might not return for many men.

2. Oral medications like sildenafil, tadalafil, and vardenafil often offer little to no benefit after major pelvic surgery and radiation.

3. Intracavernosal injections, such as Edex (alprostadil), have helped some men achieve erections when pills didn't work. However, they have some downsides:
- They eliminate spontaneity.
- Repeated use can lead to penile scar tissue, and effectiveness may decrease over time.
- If scarring limits the success of injections, penile implants might be considered. Implants can reduce erect length since blood no longer fills the corpora.

4. Intraurethral suppositories, like MUSE (alprostadil), might offer partial help but can be uncomfortable and are suitable only for occasional use for some men.

5. If pharmaceutical or mechanical options don't provide satisfactory results, focusing on extended foreplay and other forms of sexual intimacy can still lead to a fulfilling sex life, emphasizing "quality over quantity."

6. It's important not to give up. Explore every method that might offer improvement, and remember that nerve healing is slow, so some natural recovery may occur over time.