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

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PUMP

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Reuben Rothstein - 01 Oct 2005 15:22 GMT
Hi All,

I am 6 months away from RP - all is well
except that Willie does not get up when he sees a lady.
Anyone with good / bad experience with a pump?

THANKS
Leonard Evens - 01 Oct 2005 16:56 GMT
> Hi All,
>
[quoted text clipped - 3 lines]
>
> THANKS

I used a pump for about 18 months successfully.  I got one from the Timm
Company. The model was called Esteem.   Timm products appear to be more
expensive than some others, but they are covered by Medicare, and
possibly other insurers when prescribed by a physician.  They provide a
24 hour help line which I found very valuable.

You do have to practice with it for a couple of weeks before using the
tension rings, which then may require some additional experimentation.
 But it does produce a usuable erection.   There are some downsides,
mostly for the man, but I didn't find them all that much of a problem.
 The one I remember most is the force which which the ring snapped on.
 It seemed as if that was sure to bruise me, but it never did.

During the time I sued it, our sexual activity continued more or less
the same as before surgery, and I didn't experience any side effects.
But after 18 months, erections started to return, and now I manage just
with a little Viagra.
John Loomis - 01 Oct 2005 17:14 GMT
Hello Reuben,
   I had similiar experience as Leonard.
I had RP and lost one set of nerves...
I did not have any erection.
I bought the "Rejoyn" pump on the internet.
It needs some practice, and deciding which ring to use.
It was fun, and was able to have sex with my wife.
I then got a prescription from the Dr. for Prostaglandin injection.
Viagra did not work.
I used the injection method and the pump on differiing occassions.
After 2 years, I tried Viagra and to my surprise it started to work!
Now I do not need a pump, or injection, and maybe 1/3 of a 100mgs Viagra to
help me.
So, keep it up, and keep trying, and Mr. Happy will stand proud.
John Loomis
> Hi All,
>
[quoted text clipped - 3 lines]
>
> THANKS
Howard and Hope - 02 Oct 2005 01:15 GMT
Any hope for me 8 months out..willy still dead, Dr said they took both
sets of nerves..? Howie
Steve Kramer - 02 Oct 2005 01:56 GMT
Howie,

I think I've related this before.  Bot my nerves were taken, but I still had
a usable erection 2½ years later.  You have to work at it, though.  Pump,
Viagra, shots...  Nothing in life comes free.

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

> Any hope for me 8 months out..willy still dead, Dr said they took both
> sets of nerves..? Howie
Alan Meyer - 03 Oct 2005 17:23 GMT
> Howie,
>
> I think I've related this before.  Bot my nerves were taken, but I still had
> a usable erection 2½ years later.  You have to work at it, though.  Pump,
> Viagra, shots...  Nothing in life comes free.

Youth is free.

But how foolish we were in thinking it would last forever.

Who, at age 17, would ever have imagined a problem getting it up?

   Alan
Steve Kramer - 04 Oct 2005 02:00 GMT
> > Howie,
> >
[quoted text clipped - 9 lines]
>
>     Alan

Seems so long ago.
c palmer - 01 Oct 2005 18:22 GMT
hi reuben - the pump is probably the most important part of regeneration
of the erectlle system after the RP - in my opinion. and it is also the
most over looked.

here's why........before surgery, you were getting erections.  it was a
natural process, and the pump is to this natural process as CPR is to
heart attacks.  in both applications,  the organ can not function on
it's own and needs help until such time, it can take over again.

there are two major features that need to be discuss.

one, fresh blood.

anywhere, there is a large amount of fresh blood, the body heals faster.
the mouth, face, head are examples of this. so, by manually bringing
blood to this area will aid in the regeneration of the nerves.  

second

you are expanding the bladders inside the organ for erection. they
haven't been used for awhile and will ache when expanded. look at it
like walking after being in bed ridden for a long time. your legs will
ache being used the first few times.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional    
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
Reuben Rothstein - 01 Oct 2005 21:11 GMT
Hi Chris,

Thanks!!

>hi reuben - the pump is probably the most important part of regeneration
>of the erectlle system after the RP - in my opinion. and it is also the
[quoted text clipped - 26 lines]
>invariably fatal. Prostate cancer is only sometimes so."
>http://community.webtv.net/PALMER_ENT/doc
David S. - 01 Oct 2005 22:57 GMT
I think that what Curtis points out about the natural erections pre RRP is
right on target.  The pump is a good way to get blood in there and keep the
tissues in shape.

hi reuben - the pump is probably the most important part of regeneration
of the erectlle system after the RP - in my opinion. and it is also the
most over looked.

here's why........before surgery, you were getting erections.  it was a
natural process, and the pump is to this natural process as CPR is to
heart attacks.  in both applications,  the organ can not function on
it's own and needs help until such time, it can take over again.

there are two major features that need to be discuss.

one, fresh blood.

anywhere, there is a large amount of fresh blood, the body heals faster.
the mouth, face, head are examples of this. so, by manually bringing
blood to this area will aid in the regeneration of the nerves.

second

you are expanding the bladders inside the organ for erection. they
haven't been used for awhile and will ache when expanded. look at it
like walking after being in bed ridden for a long time. your legs will
ache being used the first few times.

~ curtis

knowledge is power - growing old is mandatory - growing wise is optional
"Many more men die with prostate cancer than of it. Growing old is
invariably fatal. Prostate cancer is only sometimes so."
http://community.webtv.net/PALMER_ENT/doc
MrP - 03 Oct 2005 16:39 GMT
>hi reuben - the pump is probably the most important part of regeneration
>of the erectlle system after the RP - in my opinion. and it is also the
[quoted text clipped - 21 lines]
>
>~ curtis

Am about 6 weeks post-op at this time, and the doc didn't spare the
nerves in my case.  He also informed me that "...you may notice your
penis is 1-1/2" shorter than before."  Uh yes, I did as a matter of
fact kinda wonder 'bout that...  This was because an amount of urethra
had to be chopped off before it was determined to be clear of
cancerous cells.

So my question is whether there could be damage at trying to have an
erection if the urethra has been shortened like this?

MrP
Beverley - 05 Oct 2005 01:50 GMT
You and everyone else who has had a RP now has a shorter urethra. Just use
the pump. It will work and the urethra will stretch out a little.
Bev

> Am about 6 weeks post-op at this time, and the doc didn't spare the
> nerves in my case.  He also informed me that "...you may notice your
[quoted text clipped - 7 lines]
>
> MrP
Steve Kramer - 01 Oct 2005 18:29 GMT
Rueben,

I was a short-time user of the pump.  It took me a long time to get around
to getting one and far too soon thereafter went on ADT.  But, my experience
with it was good.  It's somewhat messy, but it worked well to help me get
back in the saddle.

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

> Hi All,
>
[quoted text clipped - 3 lines]
>
> THANKS
Ron B - 01 Oct 2005 19:59 GMT
Hi Reuben.

I'm about 6 months since open RRP surgery also and the guys are right
about the pump.

Curtis gave a great explanation as to WHY they help...and Len gave a
great reason to get a "good" one.

My doc likes the use of daily ED drugs (or Cialis, every other day) and
the use of a pump and manual stimulation...all starting just 1 month out
from surgery.

I got a 'novelty' pump right away.

Now 'novelty' doesn't mean that it has a picture of  clown on it, or
that it's a toy...but it's often not as well made as the type that Len
describes.

I'm going to get a better one (which is worth it) while I hopefully
await spontaneous erections.

As they said...it's good to get the blood flowing...not to mention the
positive psychological effect of seeing an erection again.

Best wishes,

Ron B.

Chicago
David S. - 01 Oct 2005 23:07 GMT
One comment on buying the pump on the internet.  Be careful that you
purchase from a factory authorized representative.  Someone here bought a
Rejoyn via the net, it soon malfunctioned, and Rejoyn would not recognize
the warranty because the seller was not authorized.  So, contact Osbon or
Rejoyn (if you can find them) directly when making a purchase.

Also, in my case, I may be allergic to the material that Rejoyn uses for the
rings.  I quit using the pump a year or so ago because of that and I could
never get in contact with Rejoyn to find out if they have any alternatives.
The extra money for the Osbon may be well worth it because they seem to have
good customer support.

>  <snip>
> Now 'novelty' doesn't mean that it has a picture of  clown on it, or
[quoted text clipped - 12 lines]
>
> Chicago
MH - 02 Oct 2005 01:56 GMT
> Hi All,
>
[quoted text clipped - 3 lines]
>
> THANKS

Hi, Reuben...
Just want to mention here that I got a Rejoyn Pump not long after my surgery
and was using it for exercise.  But I always had a problem with the scrobum
being pulled into the tube... so it was a pain to try to use.  Recently,
someone suggested the Kaplan pump to me... and I found one on sale on the
Net for just $75.... and it is SO much better ... and so much easier to use!
I had never heard of the Kaplan brand before.  If you're looking, you might
want to check it out.  Just my experience.....

Take care... MikeH
John Loomis - 02 Oct 2005 02:32 GMT
I have the Rejoyn, and it sits in my drawer....
I would give it away for free, but feel most men do not want something that
has "travelled around the horn"
So to speak....I had to say that.
I will dump it, but it is clean, and useable...
I will send it to you for free.
Just the thought.
America really prides itself with the desposible world.
Well, I have one, a Rejoyn, and it is clean, and free!
John Loomis
> Hi All,
>
[quoted text clipped - 3 lines]
>
> THANKS
Howard and Hope - 03 Oct 2005 13:47 GMT
John, I am willing to take the pump off your hands...I guess they can be
sterilized? Curtis told me about it. Email me. Howie  (After all,
Uroligists loan them out???)
Steve U - 02 Oct 2005 21:37 GMT
Ruben,
I have a an Osborn Esteem system. It is easy and fun. Insurance covered
it, so it is also cheap. The erection is very fat, giving new meaning
to the old loaded question the wife usually asks "Honey, does this make
me look fat?"
I didn't use it much because the shots were so much better. The pump
erections can be used for 30 minutes, and they get cool (temperature)
fast. Erection by injection lasts up to 120 minutes and feels better.
As far as increasing Blood flow, the pump fills the penis with venous
blood, which has a low oxygen level. The injections fill it with
arterial blood, which is better. I think the injections helped me get
my natural function back.
Steve U
Glassman - 03 Oct 2005 03:32 GMT
> Hi All,
>
[quoted text clipped - 3 lines]
>
> THANKS

   I know of nobody here that can get unaided, spontaneous erections after
RP. Even those of us that get erections, with or without meds, need tactile
help. Sadly this seems to be the case, but it's better than being dead.

Signature

JK Sinrod
Sinrod Stained Glass Studios
www.sinrodstudios.com
Coney Island Memories
www.sinrodstudios.com/coneymemories

ross lazarus - 03 Oct 2005 04:07 GMT
>     I know of nobody here that can get unaided, spontaneous erections after
> RP. Even those of us that get erections, with or without meds, need tactile

I personally know of at least one - me. Without any drugs or manual assistance when the time comes.
Not quite as hard or as big as before surgery, but functional. Looks like there's a wide
distribution - some men do very well, others do poorly with the majority being somewhere in between.

> help. Sadly this seems to be the case, but it's better than being dead.

Amen.
Glassman - 04 Oct 2005 06:22 GMT
> I personally know of at least one - me. Without any drugs or manual assistance when the time comes.
> Not quite as hard or as big as before surgery, but functional. Looks like there's a wide
> distribution - some men do very well, others do poorly with the majority being somewhere in between.

  Wow that's great! Tell us your age at surgery, how long it took to
recover, and your other vital stats. This really gives hope to many of us.

Signature

JK Sinrod
Sinrod Stained Glass Studios
www.sinrodstudios.com
Coney Island Memories
www.sinrodstudios.com/coneymemories

 
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