Medical Forum / Diseases and Disorders / Prostate Cancer / August 2006
my receeding penis
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clayslinger@gmail.com - 11 Aug 2006 01:35 GMT I was wondering if I got a prince albert woud that keep my much smaller penis from receeding into my body?
MAS - 11 Aug 2006 04:48 GMT GO FOR IT!
LOL
>I was wondering if I got a prince albert woud that keep my much > smaller penis from receeding into my body? dave481 - 11 Aug 2006 21:58 GMT What's a prince albert?
> I was wondering if I got a prince albert woud that keep my much > smaller penis from receeding into my body? MAS - 12 Aug 2006 05:19 GMT Enter the world of piercing.....
:)
> What's a prince albert? >> I was wondering if I got a prince albert woud that keep my much >> smaller penis from receeding into my body? dave481 - 12 Aug 2006 14:13 GMT Ah....LOL
> Enter the world of piercing..... > [quoted text clipped - 3 lines] > >> I was wondering if I got a prince albert woud that keep my much > >> smaller penis from receeding into my body? NICK - 12 Aug 2006 16:52 GMT > I was wondering if I got a prince albert woud that keep my much > smaller penis from receeding into my body? I wonder if the same procedure can be done with a receeding brain.
Tom - 13 Aug 2006 05:10 GMT > > I was wondering if I got a prince albert woud that keep my much > > smaller penis from receeding into my body? > > I wonder if the same procedure can be done with a > receeding brain. That would be a Prince W.
Alex - 13 Aug 2006 07:49 GMT >> > I was wondering if I got a prince albert woud that keep my much >> > smaller penis from receeding into my body? [quoted text clipped - 3 lines] > > That would be a Prince W. Actually I think you mean Prince Charles.
Steve Kramer - 13 Aug 2006 12:22 GMT >> > I was wondering if I got a prince albert woud that keep my much >> > smaller penis from receeding into my body? [quoted text clipped - 3 lines] > > That would be a Prince W. It's a penal body piercing.
Clayslinger has claimed to have been treated for PCa, but gives no details. He is more interested in entertaining us with missives of an alternative lifestyle.
 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, 5/05, 10/05, 2/06, 6/06 PSA .07 .05 .06 .09 .08 .132 .145 Casodex added daily 07/06 Non Illegitimi Carborundum
dave481 - 13 Aug 2006 16:27 GMT Yea, Steve I remember this guy now. He was worried that a gay man is nothing without an erection. Well, hell, I aint gay and I don't have erections now either, but I'm not a *nothing*.
David
> >> > I was wondering if I got a prince albert woud that keep my much > >> > smaller penis from receeding into my body? [quoted text clipped - 22 lines] > Casodex added daily 07/06 > Non Illegitimi Carborundum Robin Fairbairns - 18 Aug 2006 16:37 GMT >> Clayslinger has claimed to have been treated for PCa, but gives no details. >> He is more interested in entertaining us with missives of an alternative [quoted text clipped - 3 lines] >nothing without an erection. Well, hell, I aint gay and I don't have >erections now either, but I'm not a *nothing*. that said, the receding penis can be alarming. particularly just after the op, when it's a _blue_ receding penis (at least, mine was).
and whether or not we can get erections (i can't either), we are at least *something*, for sure.
 Signature Robin Fairbairns, Cambridge
Steve Kramer - 19 Aug 2006 06:52 GMT >>> Clayslinger has claimed to have been treated for PCa, but gives no >>> details. [quoted text clipped - 7 lines] > that said, the receding penis can be alarming. particularly just > after the op, when it's a _blue_ receding penis (at least, mine was). No argument here. It was the biggest surprise (unpleasant) I experienced. I guess my testicles were a 'bigger' surprise, but I was shocked with the shrinkage. You'd think that if all it's good for is peeing, it would be long enough to aim.
 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, 5/05, 10/05, 2/06, 6/06 PSA .07 .05 .06 .09 .08 .132 .145 Casodex added daily 07/06 Non Illegitimi Carborundum
Shorty - 20 Aug 2006 01:23 GMT Trying to aim into the bowl while sitting is difficult for me. Remember the little boys toilet seat with a duck on front? I wonder if they have them for adults?
Shorty
> >>> Clayslinger has claimed to have been treated for PCa, but gives no > >>> details. [quoted text clipped - 25 lines] > Casodex added daily 07/06 > Non Illegitimi Carborundum Beverley - 20 Aug 2006 01:57 GMT I never had little boys only girls but I had nephews and friends with little boys. I just sat them on the seat turned backwards so that they faced the tank. Then they seemed to naturally lean down thus aiming in the right direction. Wonder if that would still work? LOL Bev
Ron B - 20 Aug 2006 17:35 GMT Bev wrote about little boys:
"I just sat them on the seat turned backwards so that they faced the tank. Then they seemed to naturally lean down thus aiming in the right direction. Wonder if that would still work?"
No joke...I believe that that was suggested for guys soon after surgery who were peeing on the floor while sitting normally on the toilet.
As things heal...the penis should get a little bit longer.
The anestimosis (joining the urethra to the bladder neck) will hopefully heal a bit.
JohnHace - 20 Aug 2006 18:02 GMT > As things heal...the penis should get a little bit longer. > > The anestimosis (joining the urethra to the bladder neck) will hopefully > heal a bit. I haven't had the surgery yet. How much shrinkage (post-op and long term) is normal, and does everyone experience it?
John
Steve Kramer - 20 Aug 2006 18:31 GMT > I haven't had the surgery yet. How much shrinkage (post-op and long > term) is normal, and does everyone experience it? Docs tend to ignore it and, when I joined this club, it seemed they were doing everything to deny it. But, many (if not most) on this NG have experienced considerable shrinkage initially. Some have regained some length as the become active again with sex.
dave481 - 20 Aug 2006 21:34 GMT John, It's been 5 months for me and I would guess I lost an inch to an inch and a half when soft. With only one erection it's hard to tell, but it was 3-4 inches shorter. For awhile, I was afraid it was going to disappear, but it seems a little bigger avery few days now. Emphasis on a LITTLE bigger. We're talking fractions here.
David
> > As things heal...the penis should get a little bit longer. > > [quoted text clipped - 5 lines] > > John JohnHace - 21 Aug 2006 17:19 GMT > John, It's been 5 months for me and I would guess I lost an inch to an > inch and a half when soft. With only one erection it's hard to tell, > but it was 3-4 inches shorter. Boy, 3 - 4 inches sounds like a lot. Are others here experiencing that?
I realize they remove some length of urethra, but some things I've read indicate they pull the bladder down to make up for part of it.
Also, the urethra must be fairly elastic to begin with. I mean, most men gain length during erections. The urethra must be stretching during that process in a pre-operative man. Right?
John
Leonard Evens - 21 Aug 2006 19:01 GMT >>John, It's been 5 months for me and I would guess I lost an inch to an >>inch and a half when soft. With only one erection it's hard to tell, [quoted text clipped - 10 lines] > > John I found Peter Scardino's explanation pretty convincing. He says that during the surgery, they don't do anything which affects the penis or supporting structures. The prostate and part of the urethra are removed, but the part of the urethra in the penis is not pulled up into the body. My impression from what he says is that it would be anatomically impossible to do that. The bladder is pulled down to connect to the remainder of the urethra. He does admit that some men perceive that their penises are shorter after surgery. He gives two explanations for why it might appear to be shorter with actually being so. On the other hand, he does say that penile shortening can develop in the long term from the effects of damaged nerves and the absence of erections.
As ron has said, there are some studies verifying penile shortening, but I am skeptical that, given the great variation in a given man's penis size, there is any really objective way to measure such things.
My take on this subject is that a man's penis normally can vary greatly in size. It sometimes 'scrunches up' and in some men can at times alsmost seem to disappear in the abdomen. For most men, it usually hangs loosely in a flaccid state. And, of course, it get consideraly longer in an erection. My conjecture is that men whose penises are normally flaccid find themselve in the scrunched up state, something they've rarely experienced, after surgery. And, of course, erections may be weaker, so the erect penis may not be as long as before.
In my opinion, this is not something that should interfere with a man's sex life nor make it more difficult to urinate.
Ron B - 21 Aug 2006 21:13 GMT I tend to agree with Len on this.
I'm not drinking the medical Kool-Aid...but 3-4 inches seems like waaay too much.
They (Walsh, et al) try to minimize the shortage...but it depends upon how much of the bladder neck and urethra that they have to cut...with cancer removal being the priority. Everyone is different.
Things are shorter at first...but then, after time and healing, the penis can adjust a bit.
The bladder stretches to fll the void.
I don't know the stats...but things seem to return to a more normal state.
When nerves heal, and blood flow increases...it seems that the flaccid state often returns to a somewhat normal conditon. (You don't pee under the toilet seat) :-)
I don't think the erect (or semi-erect) penis gets to the same size as before...but the loss does not always have to be as great as feared.
I'm sure that the other, more expert members will have things to add.
"Hang" in there. :-)
Best to all,
Ron B.
Chicago
dave481 - 21 Aug 2006 23:51 GMT Ron, when I referred to the 3-4 inches, it was on the 1 weak erection I've had. Not in the flaccid state. There it seems to be 1 to 1 1/2 " shorter.
David
> I tend to agree with Len on this. > [quoted text clipped - 29 lines] > > Chicago JohnHace - 21 Aug 2006 17:20 GMT > John, It's been 5 months for me and I would guess I lost an inch to an > inch and a half when soft. With only one erection it's hard to tell, > but it was 3-4 inches shorter. Boy, 3 - 4 inches sounds like a lot. Are others here experiencing that?
I realize they remove some length of urethra, but some things I've read indicate they pull the bladder down to make up for part of it.
Also, the urethra must be fairly elastic to begin with. I mean, most men gain length during erections. The urethra must be stretching during that process in a pre-operative man. Right?
John
ron - 21 Aug 2006 17:51 GMT > > John, It's been 5 months for me and I would guess I lost an inch to an > > inch and a half when soft. With only one erection it's hard to tell, [quoted text clipped - 10 lines] > > John Anything is possible. One study showed that about 20% of men undergoing RP lost 15% or more of their stretched penile length (80% lost less than 15%). So if you had 15-20 inches going in..... :) ...Best wishes and good health, ron
I.P. Freely - 22 Aug 2006 02:16 GMT I don't see much size difference now vs pre-op (20 months ago), comparing half-erections then to half-erections now. Problem is . . . the best I HAVE now is half-erections.
I.P.
Beverley - 21 Aug 2006 02:34 GMT When they remove the prostate they also remove about 1- 1.5 inches (25-38 mm) of the urethra. (It depends on the size of the prostate.) (Because the urethra runs through the prostate.) That tends to allow the penis to slip back inside by that amount because of the shortened urethra. The penis itself does not actually shrink. Apparently the urethra will stretch out a wee bit eventually. I doubt anyone ever gets back their full length. Bev
> > As things heal...the penis should get a little bit longer. > > [quoted text clipped - 5 lines] > > John Admin@DrYew.com - 22 Aug 2006 01:33 GMT This is a real phenomenon. Not sure about the actual etiology. Many do believe it is the removal of the prostate, but that's not anatomically very feasible. The uretha is secured in place into the pelvic floor musculature. The bladder comes down to fill in the removed space where the prostate used to be. Few things retract back up into the pelvis. Ask any woman who is older or has had children. A more likely cause is the abdominal incision. The skin incision usually goes almost to the base of the penis, and underneath, the fascia incision often goes even further south. As this heals and scars, the scar often contracts and shortens, which is why most scars indent some even as they get thicker.
The reverse of this concept is the rationale behind surgery to lengthen the penis by cutting the suspensory ligament to the penis which releases the tethering mechanism on the penis in the subcutaneous layers right above the penis. Another cause is lack of oxygenated blood flow to the corporal bodies of the penis, resulting in fibrosis and scarring (and contraction of the penis itself). Along with a few other docs around the country, I am going to start keeping track of this. Why? Anectodally, there seems to be far less complaints of this penile shortening following dVP robotic laparoscopic prostatectomy. For those having prostate cancer surgery of any kind, there is some evidence that penile corporal fibrosis (scarring) and shortening can be prevented with daily use of a vaccum erection device starting 1 month after surgery. If the constriction rings are used, this has the added quality-of-life benefit of allowing resumption of sexual activity. There is also the suggestion that this "use-it-or-lose-it" strategy may speed recovery of natural spontaneous erections.
And finally, unfortunately, probably the most common reason for a man's perception that his penis is shortening is... weight gain.
=== http://www.DrYew.com http://www.SanDiegoRoboticProstatectomy.com
> When they remove the prostate they also remove about 1- 1.5 inches (25-38 > mm) of the urethra. (It depends on the size of the prostate.) (Because the [quoted text clipped - 3 lines] > wee bit eventually. I doubt anyone ever gets back their full length. > Bev Beverley - 22 Aug 2006 21:25 GMT I went back to basic some anatomy models and sure enough there's the urethra running through the pelvic floor. And you are saying it is definitely attached there. Okay. Thank you. I stand corrected.
The pump (VED) was a tremendous help to us after treatment (EBRT + brachy) . It seemed as if we were dealing with peyronies for a while, although no doctor has ever actually said peyronies or even eluded to it. My understanding is that peyronies often effects men in their 50's and early 60's and, I guess, can be aggravated by PC treatment. I think true peyronies is caused by calcium deposits. Whereas what you are saying is a combination of damage caused by lack of oxygenated blood flow and scaring within the penis and in the pelvic floor, which might be causing something that mimics peyronies. They think my husband's problem was caused during EBRT (IMRT) causing some damage (scarring) within the penis. Of course there is no way to know this for certain. Bev
> This is a real phenomenon. Not sure about the actual etiology. Many do > believe [quoted text clipped - 55 lines] > > wee bit eventually. I doubt anyone ever gets back their full length. > > Bev Beverley - 22 Aug 2006 21:30 GMT Sorry, the word is alluded not eluded. I hate when I do that sort of thing! Bev
> I went back to basic some anatomy models and sure enough there's the urethra > running through the pelvic floor. And you are saying it is definitely [quoted text clipped - 76 lines] > > > wee bit eventually. I doubt anyone ever gets back their full length. > > > Bev NICK - 23 Aug 2006 02:06 GMT > I think true peyronies is caused by calcium deposits. > Whereas what you are saying is a combination of > damage caused by lack of oxygenated blood flow > and scaring within the penis and in the pelvic floor, > which might be causing something that mimics peyronies. From my wife's "Taber's CYCLOPEDIC MEDICAL DICTIONARY"
Peyronie's disease [Francois de la Peyronie, Fr. surgeon, 1678-1747] A dorsal deformoty or curvature of the penis caused by fibrous tissue within the tunica albuginea.
When the distortion of the penis is severe, the affected individual may experience erectile dysfunction or pain during sexual intercourse.
TREATMENT: In many cases the contracture is mild, and those patients do not required treatment. When pain is present for more than 12 months, hoeer, or when the deformity is severe or interferes with erectile funciton, surgical repair of the defect may prove helpful.
Beverley - 23 Aug 2006 04:16 GMT Peyronie's is far more common than most men want to think it is. Also it is not always the badly deformed "bent rod" and can be found in milder forms. Most men have a natural curve even in their teens, this curve can become more prominent as they age but is still not considered to be Peyronie's Disease.
Peyronie's actually takes many forms and can prevent the corpus cavernosum and the corpus spongiosum from filling with blood in areas or the entire length of the these cavernous regions. PD can happen as a result of an injury or it can just sort of happen without any catalyst other than possible age. They say it often goes away naturally within 5 years. And most of the time is left untreated because it is not really a problem or painful. Bev
> > I think true peyronies is caused by calcium deposits. > > Whereas what you are saying is a combination of [quoted text clipped - 17 lines] > deformity is severe or interferes with erectile funciton, > surgical repair of the defect may prove helpful. Beverley - 13 Aug 2006 02:22 GMT Maybe you can attach a string to the PA so you can find it when you need it.
OTOH, if it gets infected you won't have to worry about having one at all.
Bev (I truly hope you are just joking.)
> I was wondering if I got a prince albert woud that keep my much > smaller penis from receeding into my body? NICK - 13 Aug 2006 03:28 GMT > Maybe you can attach a string to the PA so you can find it when you need it. > OTOH, if it gets infected you won't have to worry about having one at all. I was thinking he could get an doctor in Africa to run a bone through it, like they do with those nose jobs.
Then he would have a boner all the time.
Howard and Hope - 23 Aug 2006 04:03 GMT Main thing is the Ca is gone and you can pee ok..Best to all..Howie
c palmer - 13 Aug 2006 12:49 GMT From: clayslinger@gmail.com
I was wondering if I got a prince albert woud that keep my much smaller penis from receeding into my body?
======> may not stop it from receeding into your body, but at least you would have a landmark of where it use to be.
~ 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
I.P. Freely - 13 Aug 2006 17:57 GMT > > From: clayslinger@gmail.com [quoted text clipped - 4 lines] > ======> may not stop it from receeding into your body, but at least you > would have a landmark of where it use to be. Use a sliver of granite. At least it would have a tombstone.
I.P.
DMCI - 13 Aug 2006 22:06 GMT >I was wondering if I got a prince albert woud that keep my much > smaller penis from receeding into my body? A pair of vice grips should work
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