Blood vessels

Thread view:

Enable EMail Alerts

Start New Thread

Thread rating:

Richard - 26 Feb 2005 22:32 GMT

I had prostate surgery five years ago and it left me with a shortened penis,
which is normal per my urologist. However erections have been a problem. I
would like to know more about the blood circulating in and out of the penis.
I was told that some vessels supplying blood to the penis are cut during the
removal of the gland. I was also told that the blood vessels draining the
penis are shunted though muscles and go to the outside of the penis. I have
requested a penile vessel scan and if necessary, the blocking of some of the
drain vessels.

Muse creates an unbearably rigid penis even at the lowest 125 mc dose
( more than a half hour of pain, the 500 mc dose created a two-hour rigid,
painful
event) and Viagra, Levitra and Cialis don't do a sufficient job at their
highest
doses.

Richard

Reply to this Message

jhhtexas@ieee.org - 27 Feb 2005 01:26 GMT

> I had prostate surgery five years ago and it left me with a shortened penis,
> which is normal per my urologist. However erections have been a problem. I
[quoted text clipped - 13 lines]
>
> Richard

Blood vessels probably aren't the problem, especially if MUSE works.
The more likely problem are the two sets of erectile nerves that
overlay the protate and can be salvaged with nerve-sparing surgery
(with mixed results). Many of us have this problem to varying degrees.
The most radical and irreversible fix is a penile implant.

Reply to this Message

Leonard Evens - 27 Feb 2005 04:03 GMT

I don't believe that the blood supply to the penis is much affected by
the surgery. Read what Walsh has to say about how erections work and
what causes impotence in his Guide to Surviving Prostate Cancer.

It was my impression that the problem wasn't usually flow of blood to
the penis but rather the fact that it didn't get rigid enough to keep
the blood flowing out through the veins in the penis.

Reply to this Message

gourd_dancer - 27 Feb 2005 04:40 GMT

LOL, take it from an erection expert....:)

Surgery tears up the capillaries causing a disruption of blood. Without a
flow a blood that can be "held in place" an erection will not take place.
For that matter, radiation that destroys capillaries does the same thing.

As a matter of fact, ask anyone who has had bypass surgery that increases
the flow of blood in the circulatory system, with rosy cheeks come the
firmer erections........

How does Viagra work? Simply by diluting the vascular system and
allowing blood to flow that was otherwise obstructed else where in the
circulatory system. Increased flow of blood means that more blood gets to be
trapped in the penis which translates to erections.

-m

> > I had prostate surgery five years ago and it left me with a shortened penis,
> > which is normal per my urologist. However erections have been a problem. I
[quoted text clipped - 21 lines]
> the penis but rather the fact that it didn't get rigid enough to keep
> the blood flowing out through the veins in the penis.

Reply to this Message

Bill - 28 Feb 2005 16:24 GMT

"I was told that some vessels supplying blood to the penis are cut
during the
removal of the gland."

In order to achieve the so-called bloodless field, the entire dorsal
vein complex is severed and tied off, never to be connected again.
These veins are what you see on the top of the penis. Although it would
seem logical that elimination of vessles that carry blood OUT of the
penis would actually prolong if not promote erections, I haven't read
anything that suggests such. I think someone needs to take a hard look
at the effect elimination of the dorsal vein complex has on erectile
function. It seems rather brutal to me and, if they can tie the urethra
back together, why not these veins?

Bill Denton
RP 2/12/02
Memphis

Reply to this Message

Rate this thread: