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Medical Forum / Diseases and Disorders / Prostate Cancer / January 2006Nerve Grafting/ Nerve Repair After Radical Prostatectomy??
I've had a Radical Prostectomy about 5 years ago (I think been a while). I was wondering if there is any hope of repairing the nerve damage these days? I've tried shots pills, and pumps with no success. Even the slightest chance of repairing the damage to the nerves, or somehow stimulating an "normal" erection would be worth pursuing at this point. I have of course heard of implants in the penis, and I'm simply not interested in that. Unless they have developed a method of restricting blood flow in order to achieve an erection that I don't know of, the inflatable implants I've seen are out of the question. Thanks Mike B. The only way to stimulate those nerves, as I understand it, is to ... well... stimulate those nerves. As my doc says, "use it or lose it." While shots, pills and pumps may not bring you to a satisfactory stiffness (though I find that hard to believe), your penis can still be manipulated to a fairly satisfactory climax. Have that done a 100 times in three months and I'll bet you get some nerve response.  SignaturePSA 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, 5/05, 10/05 PSA .07 .05 .06 .05 .08 Non Illegitimi Carborundum > I've had a Radical Prostectomy about 5 years ago (I think been a while). I > was wondering if there is any hope of repairing the nerve damage these [quoted text clipped - 10 lines] > > Thanks Mike B. > The only way to stimulate those nerves, as I understand it, is to ... > well... stimulate those nerves. As my doc says, "use it or lose it." [quoted text clipped - 3 lines] > to a fairly satisfactory climax. Have that done a 100 times in three > months and I'll bet you get some nerve response. Since the lupron shot, the hard-drive is a micro-floppy. > Since the lupron shot, the hard-drive is a micro-floppy. Lupron? I have no idea what you are talking about. >> The only way to stimulate those nerves, as I understand it, is to ... >> well... stimulate those nerves. As my doc says, "use it or lose it." [quoted text clipped - 6 lines] > > Since the lupron shot, the hard-drive is a micro-floppy. It sounded as if he was interested in sex. I therefore assumed he was not on Lupron :( >>> The only way to stimulate those nerves, as I understand it, is to ... >>> well... stimulate those nerves. As my doc says, "use it or lose it." [quoted text clipped - 9 lines] > It sounded as if he was interested in sex. I therefore assumed he was not > on Lupron :( We both are (interested), thus my lamentation :( > The only way to stimulate those nerves, as I understand it, is to ... > well... stimulate those nerves. As my doc says, "use it or lose it." [quoted text clipped - 3 lines] > be manipulated to a fairly satisfactory climax. Have that done a 100 > times in three months and I'll bet you get some nerve response. I am a little confused by your response. I am asking about repairing the nerves that are responsible for an erection. These nerves were severed during the operation to remove the prostate. Having orgasms, no matter how many, is not going to repair the nerves, nor will it stimulate an erection. >> The only way to stimulate those nerves, as I understand it, is to ... >> well... stimulate those nerves. As my doc says, "use it or lose it." [quoted text clipped - 9 lines] > many, is not going to repair the nerves, nor will it stimulate an > erection. Okay, let me expound.... Modern medicine has discovered that the nerves most likely involved in an erection, or maybe most involved in an erection, are attached like a spider web to the outside of the prostate. During your surgery, if your doctor did not practice nerve-sparing surgery, or if you were not a candidate for nerve sparing surgery, he took the prostate whole, nerves and all. During 2000, I had mine completely removed and I was not a candidate for nerve sparing. However, if you do your exercises, you can regrow your nerves, or other nerves that were secondarily involved in erections become more involved. In any case, you can begin to retrain some nerves somewhere to give you erections again. I didn't have an erection for almost 2½ years and pretty much gave up -- then bam! For no apparent reason, there it was. Unfortunately, 2 months later I had radiation -- the bam! no more erections for a long time. There is also something called a surral nerve transplant (I hope that I am spelling that right). They take a nerve from your ankle and attach it in place of the nerve you just lost. However, I don't think that can be done after the fact. In short, having orgasms may repair nerves and stimulate an erection. If not, please don't tell my penis. SignaturePSA 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, 5/05, 10/05 PSA .07 .05 .06 .05 .08 Non Illegitimi Carborundum >>> The only way to stimulate those nerves, as I understand it, is to >>> ... well... stimulate those nerves. As my doc says, "use it or lose [quoted text clipped - 37 lines] > In short, having orgasms may repair nerves and stimulate an erection. > If not, please don't tell my penis. Sounds like you had a good surgeon. I'm afraid I had a bad one (very bad, but I won't go into that) He must have at least made an effort to avoid damaging those nerves, or I doubt you would have any response. I haven't seen any myself, and I haven't heard anything but bad news, so far, from others in my shoes. Except your case. The problem with the sural nerve graft-after the fact- as I understand it, is locating the nerves in the belly, they get lost. I just keep hoping someone might have found a way to do it, or at least something that would produce a "normal" erection. Thanks for the replies :) Mike B. Mike just had a RPP at Sloan Kettering 3 weeks ago. My surgeon had a Plastic Surgeon on standby if he wasn't able to spare or get good response after nerve stimulation. So Sloan does these grafts I just don't know if they do 5 yr post RPP. Now my Uro surgeon was Dr. Eastham and he does salvage work so it might be worth a call. He was stellar. Good luck to you. ps....Plastic Surgeon was Joseph Disa. "DominicM" <dmarrese@gmail.com> wrote in news:1136424428.917256.175790 @g44g2000cwa.googlegroups.com: > Mike just had a RPP at Sloan Kettering 3 weeks ago. My surgeon had a > Plastic Surgeon on standby if he wasn't able to spare or get good [quoted text clipped - 5 lines] > > ps....Plastic Surgeon was Joseph Disa. Thanks for the info I will call. Five years is a long time, every lead I've tracked so far says no, but you never know, it won't hurt to ask. Someone somewhere has to realise the need for this for people like me. If you think of, or hear of anyone/anything else let me know. Thanks again, Mike B. |
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