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Medical Forum / Diseases and Disorders / Prostate Cancer / April 2005

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pre-op side effect...

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roger - 24 Apr 2005 11:02 GMT
When I was diagnosed pc two months ago I had virtually no
understanding about prostate, prostatecancer, treatment or side
effects whatsoever.

Nor have I ever had any problems with my erection and my libido has
been close to equal a male rabbit.

After several weeks of acquiring all I can grasp in the subject, I've
come to the conclusion that opting for a curative treatment as soon as
possible is the right thing for me, and I know it WILL affect my
sexual capacity in some degree.

Now to the interesting thing: As I come to terms with my fate more and
more about what to come, it's like my sex strive is gradually
diminishing. Erections does not come that easy anymore. Ejaculations
take's far longer to achieve and the sensation and arouse about sex
isn't just the same anymore.

And I am totally convinced that it is all psychological.

It's as my mind is preparing itself for what to come, that it is
collect the side effects in advance.

Maybe its a kind of defence mechanism, so that the op will be less
traumatic the day it is to be done, I don't know...

Any of you guys out there who have experienced similar pre-op side
effects?

Roger
age 47
psa 1.4
T1c
James A Honeychuck - 24 Apr 2005 12:15 GMT
Roger,

Your statement "and I know it WILL affect my sexual capacity in some
degree" is too pessimistic.  It is possible (but unusual) to have
nerve-sparing radical prostatectomy with no subsequent ED problems at
all, even temporary.  Especially with a young man like you.  I know
because that was my experience.

Be optimistic.  It certainly helped me.

Jim
standard RRP age 52
Steve Kramer - 24 Apr 2005 12:29 GMT
> Now to the interesting thing: As I come to terms with my fate more and
> more about what to come, it's like my sex strive is gradually
> diminishing. Erections does not come that easy anymore. Ejaculations
> take's far longer to achieve and the sensation and arouse about sex
> isn't just the same anymore.

> Any of you guys out there who have experienced similar pre-op side
> effects?

Roger, unfortunately.... yes.  My wife and I went on a 7-day cruise for our
25th Wedding anniversary the week before my operation.  I was only 46.  We
had sex once!  How pitiful is that?  I didn't see it coming.  Since you do,
hopefully there is something you and/or your wife can do about it.

> Roger
> age 47
> psa 1.4
> T1c

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA  .07 .05 .06 .05
non Illegitimi carborundum

John Loomis - 24 Apr 2005 17:00 GMT
Hey Roger, Sorry for the news and such.  I was diagnosed when I was
49.........Now I am 55 and can have wonderful sex.
I believe there is a lot on your mind, and it does affect you since you are
conscious of all the aspects and probably think about those when you are
sexually aroused.

I would move ahead, and being at a young age you will more than 100% be back
in the saddle after recovery...
Good wishes.....
Your prostate does not affect libido.....Testosterone and your mind.
John Loomis
> When I was diagnosed pc two months ago I had virtually no
> understanding about prostate, prostatecancer, treatment or side
[quoted text clipped - 34 lines]
>    ** SPEED ** RETENTION ** COMPLETION ** ANONYMITY **
> ----------------------------------------------------------
Steve U - 24 Apr 2005 22:46 GMT
Roger,
I was 50 when I had RLRP. No change pre-op except going crazy with
anxiety. I did prepare for trouble by learning to do the injections
pre-op. I went back to having intercourse day 13 post-op. In the early
days before my erectile function returned, the shots were an oasis in
the dessert. I was very glad I was prepared. My wife and I went on a
nice "get away" week end immediatly prior to surgery. That helped take
the edge off the anxiety.

I'm doing fine now at 14 months out. I hope you do well too.
Steve U
Alan Meyer - 24 Apr 2005 22:55 GMT
Roger,

I think there are a number of factors operating against you.

One is the fear of death by cancer.  That is a downer for
anyone.  Another is the fear of side effects of treatment.
Another may be fear of the treatment itself, or just of
general changes that have come into your life.

No one can tell you that the cancer and the treatment
will have no effect on your life.  They will.  But I am convinced
that life is every bit as meaningful, every bit as satisfying
and every bit as valuable after treatment as it is before.

Sex may be different.  It probably will be.  But it won't be
gone.  Some men in this group have great sex without
even getting erections.   Most men, especially at your age,
do recover the ability to have erections.  But even if they
don't, or only partially recover it, they are not out of the
game.

All of us who have ever faced a life threatening illness
(and eventually all of us do), and all of us who have had
major changes in our lives, have a challenge ahead of us.

The challenge is to seize hold of life, to put meaning in
our lives, to understand that every year and every day
that remains to us can be as meaningful, as valuable,
as pleasurable, as any day in the past.

I call this a "challenge" because it requires a psychological
effort on our part.  We have to _make_ things work for
us.  We have to put the vitality into our lives that we fear
is being taken from us.  We have to resolve that we are
going to live and love as best we can.  And if we do that,
there is no doubt in my mind that we will all find that the
best we can do really is enough for us.

I know I'm saying all this badly.  It requires a better
and more articulate philosopher than myself to put it into
the right words.  But I hope that the concept is getting
through and is of help to you.

Don't allow what is lost to obscure what remains.  There is
a lot of life, a lot of love, a lot of sex and physical enjoyment,
a lot of mental and psychological enjoyment ahead of you.

It's still there for the taking.  Go for it.

  Alan
Reuben Rothstein - 26 Apr 2005 13:21 GMT
BEAUTIFUL!!!

>Roger,
>
[quoted text clipped - 46 lines]
>
>   Alan
 
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