Hey all,
It's been close to 6 months since I had the nerve-sparing prostatectomy and still hoping I get an erection. I am 61yrs and in great health. I work out regularly at the gym and love yoga. It's been part of my routime for several years now.
I've been taking cialis a few times a week and not daily as recommended as my BP tend to run very low. I also pump a few times a week but have not kept up with it as I should.
Will I ever get an erection again at this stage or am I fighting a losing battle? ?
Looking for any advice out there from past experiences.
Hoping to get a few helpful responses or get a discussion going.
Thank you,
Trevs
Post Prostatectomy Erection?
Post Prostatectomy Erection?
Last edited by bari15 on Mon Nov 21, 2022 11:09 pm, edited 2 times in total.
Re: Post Prostatectomy Erection?
It's too early to know. I believe you can experience improvement for at least 2 years. Have you tried injections? You may like the results very much. Just don't overdo it. I'd try straight alprostadil first. Keep doing the pumping and the pills. Use that thing somehow even if by pumping with constriction rings.
R.R.P 2011 Mayo Jacksonville, Dr. M. Wehle. Not nerve sparing. C in margins. Radiation 2023, V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ 8 - 14 units. Originally Edex20, then compounded PGE due to cost. Inject. 12 yrs. It works. Treasure coast of FL.
Re: Post Prostatectomy Erection?
Thank you both for your thoughtful replies. I am encouraged by both responses.
Cheers!
Cheers!
Re: Post Prostatectomy Erection?
At 9 months after my nerve-sparing prostatectomy, with the aid of 100 Viagra, I started getting chubbies suitable for foreplay and receiving oral. Nocturnal erections started happening again around that same time. Things slowly improved and at 14 months post prostatectomy we had our first PIV sex. I remained dependent on PDE5s for date night and would have been satisfied if things stayed like that for the rest of my life.
I was told nerves take a full year to heal. Seems to hold true because I had hand surgery a few years back and while the joints and tendons healed up and functioned fine, it took over a year before I regained the sense of touch.
I was told nerves take a full year to heal. Seems to hold true because I had hand surgery a few years back and while the joints and tendons healed up and functioned fine, it took over a year before I regained the sense of touch.
A-69, M-44, Battling ED since partial NS-Prostatectomy 2012 plus SRT for PCa return 2016
Pills & injections ran their course. Implant 11/11/22 by Dr. Eid.
Titan Classic 22cm, LH cylinder trimmed, Ectopic reservoir placement.
Pills & injections ran their course. Implant 11/11/22 by Dr. Eid.
Titan Classic 22cm, LH cylinder trimmed, Ectopic reservoir placement.
Re: Post Prostatectomy Erection?
Flounder wrote:At 9 months after my nerve-sparing prostatectomy, with the aid of 100 Viagra, I started getting chubbies suitable for foreplay and receiving oral. Nocturnal erections started happening again around that same time. Things slowly improved and at 14 months post prostatectomy we had our first PIV sex. I remained dependent on PDE5s for date night and would have been satisfied if things stayed like that for the rest of my life.
I was told nerves take a full year to heal. Seems to hold true because I had hand surgery a few years back and while the joints and tendons healed up and functioned fine, it took over a year before I regained the sense of touch.
How often to you take the Viagra? And what are "chubbies"? I'm not familiar with that term.
Re: Post Prostatectomy Erection?
“”How often to you take the Viagra?””
Just 45 minutes before planned sexual activity.
“”And what are "chubbies"? I'm not familiar with that term.””
A partial erection. Sufficient for Masturbation, foreplay, and receiving oral but not hard enough to penetrate (PIV)
Just 45 minutes before planned sexual activity.
“”And what are "chubbies"? I'm not familiar with that term.””
A partial erection. Sufficient for Masturbation, foreplay, and receiving oral but not hard enough to penetrate (PIV)
A-69, M-44, Battling ED since partial NS-Prostatectomy 2012 plus SRT for PCa return 2016
Pills & injections ran their course. Implant 11/11/22 by Dr. Eid.
Titan Classic 22cm, LH cylinder trimmed, Ectopic reservoir placement.
Pills & injections ran their course. Implant 11/11/22 by Dr. Eid.
Titan Classic 22cm, LH cylinder trimmed, Ectopic reservoir placement.
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Re: Post Prostatectomy Erection?
I was relying on the pills for several years before my never sparing prosectomy (age 64). 6months after surgery pills were not enough - had some success with pills plus pumping. 12 months later went with trimix injections works great.
I have also heard it could take 2 years for full nerve recovery. However if you needed pills before surgery it is known you will have some post surgery degradation (even after 2 years).
As someone else said use it or lose it! Suggest pumping on a regular basis, foreplay stimulation, or going "solo". Without nocturnal erections (and If not "used") your friend will atrophy and shrink.
I have also heard it could take 2 years for full nerve recovery. However if you needed pills before surgery it is known you will have some post surgery degradation (even after 2 years).
As someone else said use it or lose it! Suggest pumping on a regular basis, foreplay stimulation, or going "solo". Without nocturnal erections (and If not "used") your friend will atrophy and shrink.
67 yrs old, married ro my beautiful wife for 43 years..oral meds did the job beginning at 58 until undergoing RPS at age 64, Trimix worked until it didn't. Implanted with 20cm Titan (no RTEs) by Dr Levine on 3/18/24
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- Joined: Sun Aug 30, 2020 3:32 pm
Re: Post Prostatectomy Erection?
Do a search on here and you'll see the results are 50/50; Some have got the blood flow it back but a lot of us haven't. After 3 yrs, I'm in the "not" category, and my nerves haven't repaired. I had to go to injections 2 yrs ago and sometimes struggle with proper dosing. Many times I can't feel that I'm having a Big-O, but my wife states that I throbbed. But this is still better than having a cancer-riddled prostate.
Good luck with your rehab.
Good luck with your rehab.
Born in the last century and RPP in 2020. Started trimix in Mar 2021. Implanted with AMS700 LGX + Tenacio pump in Nov 2024.
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Re: Post Prostatectomy Erection?
bari15 wrote:Trevs
I tried PMing you on Nov 22....no reply?
Born 1955, Erectile Dysfunction, Robotic Prostatectomy (Oct 2018, Dr Bugg @ UCA, Birmingham, AL), PSA<0.007, Trimix User (30 mg Papaverine HCL, 1 mg Phentolamine MES, 10 mcg Alprostadil per 1 ML. My dose is 0.16 ML)
Re: Post Prostatectomy Erection?
literature says the average is 24 months to begin recovery. Some more and some less time. I would go back to your surgeon and ask him to explain in detail his surgery notes. I had nerve sparing DiVenci procedure. Before surgery the doc says I may need Cialis to get an erection. Then after 6 months of tri mix use the surgeon tells me he removed ALL my nerves and I may as well get an implant. Find out face to face how much your nerves were damaged. At 4 years since RP I am starting to get blood flow to my glans. Prior to that it was a cold popsicle a stick. Today 5 years after rp. my glans is cold and white. Good Luck.
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20
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