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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2007potency issues
I am 10 days post robotic radical nerve sparing prostatectomy and would like some information regarding potency issues. I notice a 40% erectile responce after mild self stimulation. Is this too early to experiment and/or expect an erectile responce? Is it too early to consider use of a penis pump and or medications to stimulate erectile function? In general, do the above questions lead to the indication that I am too impatient and that I should wait before even considering dealing with this concern? As always, the information from group members is greatly appreciated! Peter > I am 10 days post robotic radical nerve sparing prostatectomy and would > like some information regarding potency issues. > > I notice a 40% erectile responce after mild self stimulation. Is this > too early to experiment and/or expect an erectile responce? From what I've read and heard you should allow the body recovery time of up to a few weeks. > Is it too early to consider use of a penis pump and or medications to > stimulate erectile function? At least one study suggests a regimen of daily viagra will accelerate rehab. UPMC says that response to viagra is favorable if both nerves have been spared, but not effective if that is not the case. Your "40%" response (presumably without medicine) would appear to indicate that you are on the right track! > In general, do the above questions lead to the indication that I am too > impatient and that I should wait before even considering dealing with > this concern? Apart from the recovery time issue and unless your urologist put you on a temporary restraining order, I don't think you have reason to wait. > As always, the information from group members is greatly appreciated! > > Peter > > I am 10 days post robotic radical nerve sparing prostatectomy and would > > like some information regarding potency issues. [quoted text clipped - 4 lines] > From what I've read and heard you should allow the body recovery time > of up to a few weeks. I've heard that too. But this is something you might want to ask your surgeon. > > Is it too early to consider use of a penis pump and or medications to > > stimulate erectile function? [quoted text clipped - 4 lines] > response (presumably without medicine) would appear to indicate that you > are on the right track! There is a similar study of the pump which also reported good results. I posted a reference to it recently on this group. In the study, the patients began using it 30 days after surgery. > > In general, do the above questions lead to the indication that I am too > > impatient and that I should wait before even considering dealing with [quoted text clipped - 6 lines] > > > Peter >I am 10 days post robotic radical nerve sparing prostatectomy and would >like some information regarding potency issues. [quoted text clipped - 8 lines] > impatient and that I should wait before even considering dealing with this > concern? When I was going through RPP, my doc said not for 6 weeks at least. But, some docs are different. I remember one who recommended beginning before surgery. I think that was to get more capillaries growing before the 'insult'. I don't think there is a gold standard on this one. SRK >I am 10 days post robotic radical nerve sparing prostatectomy and would like >some information regarding potency issues. [quoted text clipped - 12 lines] > >Peter Peter, My story: I was on Viagra for two weeks post op. After that, I was on nothing and not "exercising" the organ. I was more dedicated to healing up and my Kegels. At about two months, I felt well enough to want to get back in the game, but I had no game to speak of.... I went and saw a Uro I affectionately have dubbed the "Penis Guru", because of his wealth of knowledge specific to the organ and all of its functions. He examined me, ran tests and gave me a Trimix injection and I responded like the Space Shuttle. I walked out with a script for Cialis 20Mg which I take once a week and at four months post op, I am fully functional as required. I strive to get off it altogether, but am uncertain as to how long that will be. I believe you should consult with your Dr. if you are looking to get going 10 days post op.  SignaturePSA @ 45 yrs. = 4.7 02/06/2007 Biopsy 03/16/2007 G7(3+4),T1c RLRP 06/12/2007 G7(3+4),T2cN0M0 Neg margins PSA 7/16/2007 = <0.1 PSA 9/12/2007 = <0.1 From my limited experience of one, if you can get a 40% erection 10 days after surgery, you will achieve near 100% function in a few months. Also if you can get a 40% erection with mild stimulation now, you don't need any chemical or mechanical aids. Whatever effect these aids may have is being accomplished by your own hand. Keep it up ;-) David >I am 10 days post robotic radical nerve sparing prostatectomy and would >like some information regarding potency issues. > > I notice a 40% erectile responce after mild self stimulation. Is this too > early to experiment and/or expect an erectile responce? You're way ahead of the curve Peter. Keep practicing, and you'll see steady progress. SignatureJK Sinrod www.SinrodStudios.com www.MyConeyIslandMemories.com Hello, Peter: 10 days after and you're getting a little wood?! That's great! Tell your doc; he'll probably do backflips. And you really should ask him/her about the stimulation. You're still healing. Good luck, charlie Signature6/2006 PSA 5.2, DRE suspicious 7/2006 Biopsy: 2 of 10 positive, Gleason 7(3+4) 11/2006 LRP: Clear margins PSA < 0.01 on 1/2007, 3/2007, 6/2007, 9/2007 so far, so good ...
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