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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2004

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Bit of good news

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Glenn Enoch - 16 Oct 2004 21:26 GMT
Had my first spontaneous nocturnal erection last night, 80 days after
surgery.

Signature

Age 46
PSA: 1.4 (12/00), 2.0 (7/02), 10.3 (3/2/04), 6.0 (retest 3/18/04)
Biopsy 4/5/04 cancer in 10% of one core
Gleason 6 (3+3); clinical stage T1c
Bone Scan negative; pre-surgery PSA 2.8
RRP 7/27/2004
Pathological stage T2a, Gleason 6 (3+3)
³Tumor confined to prostate" and "Surgical margins free of tumor²

MH - 17 Oct 2004 00:44 GMT
> Had my first spontaneous nocturnal erection last night, 80 days after
> surgery.

Great news!  I hope it's just the first of many... and the beginning of your
way to recovery of function!

MikeH
Leonard Evens - 17 Oct 2004 18:10 GMT
> Had my first spontaneous nocturnal erection last night, 80 days after
> surgery.

That is good news.  It is also apparently typical for men your age whose
surgery was done by a skilled surgeon.  Sometimes I wish my prostate
cancer was diagnosed earlier because I would have had less trouble with
impotence.  It took me two years to get spontaneous nocturnal erections
and they are still not that common.

One warning.  Don't expect steady progress in this area.   Excuse the
pun, but there are going to be many ups and downs.
Smith - 18 Oct 2004 04:47 GMT
Does anyone know why it's easier for younger men to get erections
after PC surgery than older men?
Leonard Evens - 18 Oct 2004 21:21 GMT
> Does anyone know why it's easier for younger men to get erections
> after PC surgery than older men?

Walsh in Guide to Surviving Prostate Cancer provides approximately the
following explanation.  As one ages, the nerves which are neceesary for
erections tend to degenerate.   Up to a certain point, this doesn't
matter, but at some point it creates some problems.  A radical
prostatectomy, even if the nerves are spared, does produce some trauma
in the area and the process of nerve degeneration may be accelerated.
Both younger and older men lose some of what is needed, but in the
younger men there is still plenty left over.

The figures are quite startling.  Surgeons like Walsh can preserve
potency in younger men in 80 percent of more of the cases.  For men over
70, the success rate drops to something like 30 percent.

Radiation also affects potency but in somewhat different ways.  Usually
there is not much of a problem immediately, but it may develop over the
next couple of years or more.  This could be due to latent damage to the
nerves or to the circulation in the area.  Men over 70 definitely do
better in this area with radiation, though.
Smith - 19 Oct 2004 04:09 GMT
Excellent! Thank you Leonard.
Danny McCarty - 18 Oct 2004 22:38 GMT
>Subject: Re: Bit of good news
>From: smith_bp101@hotmail.com  (Smith)
[quoted text clipped - 3 lines]
>Does anyone know why it's easier for younger men to get erections
>after PC surgery than older men?

;-}  'cause they is younger?
Steve Kramer - 19 Oct 2004 02:15 GMT
It is defintely better for younger people, but it is probably not the most
important factor.  Capsule penetration, skill of the doctor, and sexiness of
the wife are much more important.

.... okay, maybe not the latter.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3bN0M0
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron (1 mo) 07/21/2003 @ 48
PSA  .07 .05 .06
Lupron (3 mo) 8/03 (48), 12/03, 4/04 (49), 09/04 (50)
non illegitimi carborundum

> Does anyone know why it's easier for younger men to get erections
> after PC surgery than older men?
Stephen Jordan - 17 Oct 2004 19:19 GMT
> Had my first spontaneous nocturnal erection last night, 80 days after
> surgery.

I'm jealous!

Seriously; good news, indeed.

Regards,

Steve J
__
"Never give in--never, never, never, never, in nothing great or
small, large or
petty, never give in except to convictions of honour and good
sense. Never
yield to force; never yield to the apparently overwhelming might
of the enemy.''
--Sir Winston Leonard Spencer Churchill
Smith - 18 Oct 2004 04:46 GMT
Glenn

Was your age 46 when you were Dx with cancer? Or is that your age now?
Glenn Enoch - 18 Oct 2004 12:44 GMT
I was 45, a couple of months short of my 46th birthday.  46 now.

On 10/17/04 11:46 PM, in article
82a43f7f.0410171946.55a52373@posting.google.com, "Smith"
<smith_bp101@hotmail.com> wrote:

> Glenn
>
> Was your age 46 when you were Dx with cancer? Or is that your age now?
Steve Kramer - 19 Oct 2004 02:12 GMT
He was 45 at Dx.

Signature

Prostate Cancer Survivor (so far), not a doctor
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3bN0M0
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron (1 mo) 07/21/2003 @ 48
PSA  .07 .05 .06
Lupron (3 mo) 8/03 (48), 12/03, 4/04 (49), 09/04 (50)
non illegitimi carborundum

> Glenn
>
> Was your age 46 when you were Dx with cancer? Or is that your age now?
Sandy K. - 18 Oct 2004 19:20 GMT
Glenn -

Great news!!  Are you still taking viagra or cialis on a regular basis??

Sandy K.

> Had my first spontaneous nocturnal erection last night, 80 days after
> surgery.
Glenn Enoch - 19 Oct 2004 02:19 GMT
I can only take Viagra because of the drug trial I am on.  And no, I am able
to do Dr Mulhall's "homework" OK without it.

Reminder to the group: I am on a drug trial specifically to test nerve
healing.  There is a two in three chance that I am receiving the medicine.
You can find a full description of this test at the Memorial Sloan-Kettering
web site (http://www.mskcc.org/), it¹s called ³Phase II Study of GPI 1485
for Erectile Function in Patients Undergoing Nerve-Sparing Prostatectomy for
Prostate Cancer.²  Basically, it¹s a double-blind test of a medicine
developed for Parkinson¹s Disease, now being tested to protect nerves during
RRP and help them recover afterwards.

On 10/18/04 2:20 PM, in article 2tifqoF20a96bU1@uni-berlin.de, "Sandy K."
<skaston@celgene.com> wrote:

> Glenn -
>
> Great news!!  Are you still taking viagra or cialis on a regular basis??
>
> Sandy K.
 
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