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Medical Forum / Diseases and Disorders / Prostate Cancer / November 2007Basic woody question
Had a RP 5/05 and haven't had sex since. Strange thing is, my lack of libido has kept this ED rather manageable. I still love to look at women, porn, oh yeah and my wife, and I can still orgasm with a lot of work and imagination, but its like a scared turtle most the time and barely sticks its nose out even when stimulated. My doctor has prescribed a penile injection. I'm having trouble making my appointments because I dread sitting there and having a guy!!show me how to get an erection with a needle. I want to do it for my wife if nothing else. My question is 1. Does the libido normally suffer with the cancer? or is it in my head. 2. Is it usually the case that after an RP the penis actually recedes and hence a full erection can no longer be as once was. I mean I literally have to pinch the little fellow out to keep from peeing straight ahead. 3. The big question. Does the needle give you a normal erection? Normal being of course, like it use to be. Is it immediate and how long will it last. Thanks >Had a RP 5/05 and haven't had sex since. Strange thing is, my lack of >libido has kept this ED rather manageable. I still love to look at women, [quoted text clipped - 5 lines] >to do it for my wife if nothing else. My question is 1. Does the libido >normally suffer with the cancer? or is it in my head. I'm sure it's widely variable but it seems to have dulled my libido. 2. Is it usually the >case that after an RP the penis actually recedes and hence a full erection >can no longer be as once was. Seems to be pretty common. Many doctors deny it. Studies show an average loss of 10% of length. Some lose 25% or more, others nothing. I mean I literally have to pinch the little >fellow out to keep from peeing straight ahead. 3. The big question. >Does the needle give you a normal erection? Normal being of course, like it >use to be. Is it immediate and how long will it last. Thanks Yes, it can produce an almost normal erection. I've been injecting for several months and always get some result but it varies from just OK to really hard. I don't think even the best are as good as I was able to get before, it doesn't seem like the "root" ever gets hard like it used to so it never really sticks UP like it used to. >Had a RP 5/05 and haven't had sex since. Strange thing is, my lack of >libido has kept this ED rather manageable. I still love to look at women, [quoted text clipped - 5 lines] >to do it for my wife if nothing else. My question is 1. Does the libido >normally suffer with the cancer? or is it in my head. I am not sure + you did not mention your age. I was 65 when I had RP and did not lose interest even tough suffered from ED 2. Is it usually the >case that after an RP the penis actually recedes and hence a full erection >can no longer be as once was. I mean I literally have to pinch the little >fellow out to keep from peeing straight ahead. Yes - the penis gets shorter but one can get it up sufficiently for a penetration and enjoy good sex 3. The big question. >Does the needle give you a normal erection? Normal being of course, like it >use to be. Is it immediate and how long will it last. Thanks Yes - there is a matter of finding the proper mix. Ideally - in my opinion - is to get it up let's say 90% and then the rest by stimulation. It will last 3 hours - thus with the right partner one can get two "sessions" > Had a RP 5/05 and haven't had sex since. Strange thing is, my lack of > libido has kept this ED rather manageable. I still love to look at [quoted text clipped - 5 lines] > erection with a needle. I want to do it for my wife if nothing else. My > question is > 1. Does the libido normally suffer with the cancer? or is > it in my head. I don't think cancer has anything to do with it, but the surgery itself certainly affects how you experience sex. In my case, after surgery at age 67, my interest in women, etc. recovered within a month or so after surgery, but it was considerably more difficult to get excited. Without getting excited, it is hard to maintain an erection and hard to achieve orgasm. This has continued to improve with the passage of time, but I an not back to where I was before surgery. On the other hand, my libido was declining a bit before surgery anyway, and I am now 74, so some of this was just probably normal decline. The point is that I am interested enough and get enough gratification from sex, whatever the intensity of the experience, that it is worth the effort. Psychology certainly plays a role. If you are worried about the situation, you are certainly going to have problems both in terms of maintaining an erection and in achieving orgasm. 2. Is it usually the case that after an RP the penis > actually recedes and hence a full erection can no longer be as once was. > I mean I literally have to pinch the little fellow out to keep from > peeing straight ahead. Peter Scardino, in his book---which I suggest you read---claims that for anatomical reasons, the penis can't actually be drawn back into the abdomen after RP. He describes a couple of reasons why the penis may appear to be shorter. There have been several studies which purported to show shortening, but I am skeptical about such results since it is hard to standardize just what you make measurements. A man's penis size can vary very significantly depending on the circumstances. In my case, I've experienced what you describe from time to time, even before surgery. I think most men seldom experience it, and when it happens after surgery, they attribute it to the surgery. In my case, I don't really see any significant difference in penis size, erect or not. I was impotent for 18 months following surgery during which time I used a pump. Now I can achieve an erection with the help of Viagra and sometimes without it. 3. The big question. Does the needle give > you a normal erection? Normal being of course, like it use to be. Is > it immediate and how long will it last. I don't have any experience with injections. I was considering trying them, but it turned out not to be necessary. It is unlikely to produce an erection just the same as before surgery, but other men indicate that it works well enough for sex. Don't expect miracles, but be willing to experiment to see what works. You might try a pump as a first step. It will give you a relatively safe way for you to "exercise" your penis, and even start to have sex with your wife. Thanks Well, now that you mention it, I don't think it has gotten shorter (how can it)? but it's always like when you just get out of a cold swimming pool. Like George Costansa, "it shrunk" !!!! It just stays that way now. >> Had a RP 5/05 and haven't had sex since. Strange thing is, my lack of >> libido has kept this ED rather manageable. I still love to look at [quoted text clipped - 60 lines] > > Thanks >Had a RP 5/05 and haven't had sex since. Strange thing is, my lack of >libido has kept this ED rather manageable. I still love to look at women, [quoted text clipped - 10 lines] >Does the needle give you a normal erection? Normal being of course, like it >use to be. Is it immediate and how long will it last. Thanks Mike, My RLRP was 06/07 and I'm 45 years old. I'll try to answer your questions based on my experience. 1] I had no interest in sex for about six weeks post op. At 10 weeks post op, I wanted it bad but no stimulation in the world got me anywhere. I attribute the timefram to my physical healing process with a little mental anxiety thrown in. 2] I feel my penis is shorter when it is not erect, but my wife says she feels no difference during intercourse, so if it is shorter, it's marginal or only when flacid. 3] What got me back in the game was a shot of Trimix. I would not call it a normal erection, it was more like a raging hardon bordering on painful. I actually had to get another shot to bring me down. However ever since that day and a QW dose of Cialis, I have no issues rising to the occasion. I really believe the Trimix jumpstarted me.  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 > Had a RP 5/05 and haven't had sex since. Hi, Mike. Have you had a recent PSA. As I recall, it was going up in July. > 1. Does the libido normally suffer with the cancer? As you described your libido, I believe you have less libido than a typical 55/56-year-old following surgery. ED is something that you should expect, but not a libido problem. > 2. Is it usually the case that after an RP the penis actually recedes and > hence a full erection can no longer be as once was. I would not say that a full erection cannot be achieved, but it is common for it to recede. Some uros will tell you there is nothing to the rumor, but I and many others have experienced it. > 3. The big question. Does the needle give you a normal erection? Yes. Or even a raging erection. 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 PSAD 0.19 years EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 PSAD .056 years Lupron 07/03 (1 mo) 8/03 and every 4 months there after PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years Casodex added daily 07/06 PSA <0.04, <0.05, <0.04, <0.04 10/11/07 Non Illegitimi Carborundum Thanks for asking, I'm scheduled for a PSA every 3 months and I am now1 mos over due. I tend to want to leave well enough alone, no news is good news etc etc.. I was asking about ED because if I go in for a prescription, I'll have a test while I'm there. >> Had a RP 5/05 and haven't had sex since. > [quoted text clipped - 17 lines] > > Yes. Or even a raging erection. Thanks for the responses and help. I think I'll try the pump first. With Kaiser I don't have to pay for all this equipment. And a pump can't be much worse than me flogging myself just for a reminder of how good an orgasm felt. I like hearing the word "raging".!!! That would feel real good again. Its' weird but I frequently have dreams of "raging" and in the dreams I realize the waiting period is over and I'm finally returning to normal. It's wonderful until I'm fully awake. > Had a RP 5/05 and haven't had sex since. Strange thing is, my lack of > libido has kept this ED rather manageable. I still love to look at women, [quoted text clipped - 11 lines] > being of course, like it use to be. Is it immediate and how long will it > last. Thanks |
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