Had the visit with an ED specialist today.  He did a thorough history
and physical (with my underpants off I leaked on the floor and the exam
table but he told me not to worry, they were used to that in urology).  He
told me that he thought my ED problems pre RRP were due to the high blood
pressure.  Currently, of course, the damage from the RRP is the culprit.  He
said that it is common for Viagra to start to work again somewhere between
twelve and eighteen months after the surgery.  Other than that the
alternatives were MUSE or Caverject, the pump, or one of the implant
options, of which there were three.  I tried MUSE and Caverject with poor
results, so that was ruled out.  He gave me a prescription for a pump.  Do
you need a prescription for a pump anymore?  I thought they sold those
things in the drug stores?
   The most interesting thing today was the discussion about the implants.
I am only eleven months post op, but he talked like that was a viable
alternative.  He described it as being the most effective of the three
options, and said that most men are very satisfied with the results.  There
are three options.  The semi rigid rods that means a permanent "erection".
You manipulate the position of the penis as needed for normal daily
activities.  The implant that includes a pump and a sack for the fluid that
inflates the reservoirs implanted in the penis, and finally a pump device
that is self contained.  Option one and three were described as involving
less extensive surgery and that they do not have the potential for leaks
like option two.
   I think that is it.  He wants to see me again in six months.  Not sure
why, but maybe that implant will look more interesting at that point.  Right
now I am satisfied with the pump and some hope that Viagra/Cialis will start
to work again one of these days.
   Here's to low PSA's for all, dry underpants, and please - a cure soon.
   Thank you.
David S.