Medical Forum / Diseases and Disorders / Prostate Cancer / December 2006
17 months on
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Peter Headland - 30 Nov 2006 01:13 GMT I had my 18-month PSA check done at 17 months so I could include the result in this year's Xmas cards. Fortunately we're not going to be spoiling everyone's holidays - "undetectable <0.02".
I still have very infrequent and very minor stress incontinence (hugging my wife without remembering to cinch up that sphincter can cause a single drop to start down the urethra before I can catch it, and forcing some gas out while sitting at the wrong angle can be a little more hazardous than that, but I can run, jump lift, etc. as much as I want without problems).
On the ED front, sadly I have made little progress this past 11 months. I tried a Cialis on Sunday night - Monday morning I got a reasonable erection that lasted about 1 minute. However, the side effects were just as bad as I remembered from my last experiment (48 hours of stuffed up sinus/headache, lighted-headedness, blood pressure all over the map, generally feeling crappy), so I think pills are just not for me. The cock ring produces something just-about usable, likewise the vacuum pump, but I am becoming pessimistic - if it's like this at age 49, what will it be like 10 or 20 years from now when natural loss of ability is overlaid on what little I have?
Anyhow, I have a prescription for Muse; we'll see if I can tolerate that. After that, I'll try the injections.
Worse things happen at sea, as my elderly aunt used to say. So long as the PSA stays away, I'm happy with my choices.
 Signature Peter Headland
John Loomis - 30 Nov 2006 02:04 GMT Hello Peter Headland, We met while I was working at Heritage House in Mendocino..area That was a terrible job, and I left that soon after our visit. I am John Loomis, had RP 1999 with Dr. James D Brooks. I know it is your Dr. too. I drip, but not bad at all....just leftover after peeing.... I usually stretch it out, and drain... In the ED dept....Never give up! I am serious. I did not get an erection for 2 years unless using a pump, or injections....They work...they hurt too. not the shot the medication... Viagra made me headaches, and stuffy nose, and nothing... Finally after using injections from Dr. Brooks (Prostaglandin) I diddled with pump, viagra, etc......I was ready to give in. I decided to cut the pills in small pieces. I had 100mgs.... Two years later, I took my wife for a walk in the woods. I took a little piece of viagra.....1/4 of a 100mgs pill. Funny, I started to get a reaction /erection...Hum. I did not get a headache, or stuffy nose. Now, I can split a 100mgs pill in 1/4rs. use it in the a.m. Put it under my tongue, and in 15 minutes to 20, with stimulation, I can have an erection that is quite nice..... Trouble is wives do not like to be troubled when sleeping. Trouble is the pill works best on empty stomach. Sex happens in the a.m. The time my wife loves to sleep. Anyway, keep trying, do not give in. Yes, pornography was helpful....I admit, It was eye and brain connections... Nerves actually got excited, and found a way to connect.... Anyway, one nerve spared, used pumps, viagra, injections, and now with 1/4 of a Viagra Pill (100 mgs) I am up and running. I have no secret.....Keep trying. John Loomis RP 1999 7 years PSA undetectable. Erection best with small pieces of viagra.... Wish You well. Never give in. Your Friend, John Loomis
>I had my 18-month PSA check done at 17 months so I could include the > result in this year's Xmas cards. Fortunately we're not going to be [quoted text clipped - 23 lines] > Worse things happen at sea, as my elderly aunt used to say. So long as > the PSA stays away, I'm happy with my choices. Bob Anthony - 30 Nov 2006 15:01 GMT > Monday morning I got a reasonable > erection that lasted about 1 minute. Braggart! ;) I'm hitting the 24 month anniversary. I can get about half mast with 20mgs of Levitra. The side effects are not too bad with the usual "seeing blues" more vividly, and a bit of a stuffy nose. I've tried the injections and they do work for me, but then again I've only taken 4 or 5 of them. I'd rather swallow a pill anyway than prick my, well, you know. Erections certainly are not what they were like before the RP, as far as I can tell. I'm 55 now but have always been in very good physical condition and had no previous problems achieving and maintaining an erection. I'm hopeful that there will be improvements in that department by new pharmaceuticals and/or more time. I guess the main thing is what was once trying to cause our demise is now gone. Try keeping a stiff upper lip, or a stiff, well, you know!
B.A.
Alan Meyer - 30 Nov 2006 15:35 GMT Peter,
I'm glad your treatment still seems to have worked. That's certainly good news.
I understand why you feel discouraged by the ED problem. However, the fact that you have any response at all is a very good sign. I seem to remember reading that the guys who suffer permanent ED are men who have _no_ response. The men who have some capability, even if slight and of short duration, still have some intact machinery that can and does continue to gain function.
I believe that there are also significant psychological factors that affect many of us. Once you begin to regain a little more function, your confidence will increase and that, by itself, may be of significant help.
I predict that one night you and your wife will experience a pleasant surprise.
Good luck.
Alan
callalily - 30 Nov 2006 20:29 GMT > Peter, > [quoted text clipped - 12 lines] > > Alan There are a whole lot of physical factors that could cause or contribute to ED. I came across this and thought people might want to know that maybe it's not the pca.
Future Strategies for Treating Erectile Dysfunction Jacob Rajfer, MD, Thomas Magee, PhD, and Nestor Gonzalez-Cadavid, PhD Department of Surgery, University of California at Los Angeles, Los Angeles, CA
Gene Therapy for Erectile Dysfunction Future Directions
Erectile dysfunction affects over half of all men between 50 and 70 years of age, and by the age of 40, about 40% of men may suffer from some form of erectile dysfunction. Many disease states, such as diabetes, hypertension, depression, and vascular disease, are associated with the condition, which may occur many years prior to the onset of these disorders.
lfc
Peter Headland - 30 Nov 2006 22:36 GMT > There are a whole lot of physical factors that could cause or > contribute to ED. I came across this and thought people might want to > know that maybe it's not the pca. Well, when you go into the operating theatre able to keep a rock solid erection for half an hour and come out with the ability a piece of over-boiled spaghetti, it's pretty easy to know what the cause is. :-(
 Signature Peter Headland
Steve Kramer - 01 Dec 2006 11:34 GMT >I had my 18-month PSA check done at 17 months so I could include the > result in this year's Xmas cards. Fortunately we're not going to be > spoiling everyone's holidays - "undetectable <0.02". Congratulations, Peter. Not a bad little Christmas gift.
 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 PSA <0.04 Non Illegitimi Carborundum
tchtic@yahoo.com - 01 Dec 2006 12:54 GMT ...
> On the ED front, sadly I have made little progress this past 11 months. > I tried a Cialis on Sunday night - Monday morning I got a reasonable > erection that lasted about 1 minute. For a year or so after seeding, while on Lupron and for months afterward, that's what it was like for me. I'm at 25 months post-seeding now and erections and orgasms are almost back to normal. Almost.
While on Lupron, there was no stirring.
For 6 months after Lupron, it was "touch and no-go".
After a year, there was improvement (firming up of the shaft, better orgasms) but my testosterone was at 300, which is the low end of normal. Vitamin-V helped and there was progress. It was gradual.
At 25 months post-seeding, I'm just under 2 years after the last Lupron shot should have worn off, erections are better and longer lasting.
9 months ago I was good for 1 or 2 minutes of activity. Now it's maybe 4 or 5. Sometimes, there is spontaneous stirring.
I have other side effects from the radiation, the IMRT and PD-103 seeds. Several times a week, I drip a tiny amount of blood when I start to pee. I mentioned it to the rad-doc 3 months ago and he wasn't concerned. This started about 6 months ago and I'm guessing that it's normal/common at the 2 year mark for radiation. Anyone else see that?
I have to potty about twice as often as I did before treatment. There is some urgency but there haven't been any accidents so I'm counting myself as lucky.
-kh
Leonard Evens - 02 Dec 2006 16:15 GMT > I had my 18-month PSA check done at 17 months so I could include the > result in this year's Xmas cards. Fortunately we're not going to be [quoted text clipped - 23 lines] > Worse things happen at sea, as my elderly aunt used to say. So long as > the PSA stays away, I'm happy with my choices. I also had to wait 18 months for erections to return. I am still doing reasonably well at age 73, 6 years after surgery. I can sometimes manage with nothing but i ordinarily use Viagra. I haven't really noticed much decline over the past 4 years.
So don't give up hope yet.
Mary Fisher - 02 Dec 2006 17:53 GMT >> ... if it's like this at age >> 49, what will it be like 10 or 20 years from now when natural loss of >> ability is overlaid on what little I have? Do you think you'd have been past it at 59 or 69?
> I also had to wait 18 months for erections to return. I am still doing > reasonably well at age 73, 6 years after surgery. I can sometimes manage > with nothing but i ordinarily use Viagra. I haven't really noticed much > decline over the past 4 years. I'm looking forward to - ooh, easily the best part of some time more - for lovemaking.
> So don't give up hope yet. No, don't. And please don't think that everything stops at 50! That's what teenagers think!
Mary
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