Postrate surgery
Postrate surgery
Have anyone had postrate surgery. Can you share your experiences. Did you have any incontinence isues? If so, how did you deal with it? Thanks
Re: Postrate surgery
Yes
Yes, but I'm watching my grandbaby at the moment and wouldnt have concentration.
Yes
Again, I can address this later when I can concentrate on it.
Yes, but I'm watching my grandbaby at the moment and wouldnt have concentration.
Yes
Again, I can address this later when I can concentrate on it.
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: Postrate surgery
OK, I'll do a partial here:
I had an RP with all nerves taken. This gave me instant profound ED, nothing. I did not have Ed prior to the surgery.
Like pretty much everyone I also had incontinence after the surgery. I dutifully did my kegals after the surgery as instructed. I wish I'd started doing them before surgery. The kegals helped and my incontinence slowly diminished but was still pretty bad and requiring pads.
I then started a walking program in my neighborhood. It's a neighborhood with big lots so somewhat rural. My program was to go for walks with no protection, no pad. The reason was to give me incentive to hold it in. My first walks were very short and resulted in frequent wet spots along with episodes of emergency relief behind bushes. Progress was slow but I eventually worked up to 4 mile walks without leaks.
Now I no longer wear pads and can go all day without leaks. Am I at 100%? No! I will sometimes have a small leak if I suddenly bend over to pick up something weighty without clamping first. Also if I'm working outside in the woods and get fatiqued and continue working, well then all bets are off. Generally I'm so sweaty by that point that no one would notice. But like I said I don't have enough leaks to matter and they're so small they don't spot.
I also had climaturia but I'll have to get to that later I'm falling asleep.
OK, I'm back.
The climaturia goes with the incontinence but in the sexual intimacy side of things. It has to do with leakage during sexual arousal, foreplay and especially during climax. It's fairly common after an RP. Some guys with saved nerves may recover from it, and other RP side effects, rather quickly. Others with more severe nerve damage or loss have longer lasting issues.
For the ED pills had little, nearly zero effect on me as far as erections. They did make VED use easier. However mono-mix alprostadil (PGE1) injections were and are effective. After experimenting with the injections solo (highly recomended) I discovered a significant problem. The problem was that even with a great chemicaly induced erection, even after I'd otherwise recained urinary continence, upon climax I ejaculated significant amounts of urine. That's not something I wanted to bring to the bed with my wife. She's pretty understanding but isn't into water works.
So solo practice continued. I initially learned that I could stop an orgasm from happening by strongly clamping the kegals at the last moment, and thus the water works. I eventually learned that I could clamp enough to stop the water works while still allowing a slightly less enjoyable orgasm. It took a fair amount of solo practice. It takes practice but it can be learned. Then it was time to take it to bed with the wife. I suggest telling the wife or S.O. up front what has to be done. There may be a few light hearted women that are fine with water works and will want to be part of the learning process. But I doubt there's a lot of them. It seems obvious but it's always good to restrict fluid intake before hand and to void your bladder immediately before sexual activity.
I had an RP with all nerves taken. This gave me instant profound ED, nothing. I did not have Ed prior to the surgery.
Like pretty much everyone I also had incontinence after the surgery. I dutifully did my kegals after the surgery as instructed. I wish I'd started doing them before surgery. The kegals helped and my incontinence slowly diminished but was still pretty bad and requiring pads.
I then started a walking program in my neighborhood. It's a neighborhood with big lots so somewhat rural. My program was to go for walks with no protection, no pad. The reason was to give me incentive to hold it in. My first walks were very short and resulted in frequent wet spots along with episodes of emergency relief behind bushes. Progress was slow but I eventually worked up to 4 mile walks without leaks.
Now I no longer wear pads and can go all day without leaks. Am I at 100%? No! I will sometimes have a small leak if I suddenly bend over to pick up something weighty without clamping first. Also if I'm working outside in the woods and get fatiqued and continue working, well then all bets are off. Generally I'm so sweaty by that point that no one would notice. But like I said I don't have enough leaks to matter and they're so small they don't spot.
I also had climaturia but I'll have to get to that later I'm falling asleep.
OK, I'm back.
The climaturia goes with the incontinence but in the sexual intimacy side of things. It has to do with leakage during sexual arousal, foreplay and especially during climax. It's fairly common after an RP. Some guys with saved nerves may recover from it, and other RP side effects, rather quickly. Others with more severe nerve damage or loss have longer lasting issues.
For the ED pills had little, nearly zero effect on me as far as erections. They did make VED use easier. However mono-mix alprostadil (PGE1) injections were and are effective. After experimenting with the injections solo (highly recomended) I discovered a significant problem. The problem was that even with a great chemicaly induced erection, even after I'd otherwise recained urinary continence, upon climax I ejaculated significant amounts of urine. That's not something I wanted to bring to the bed with my wife. She's pretty understanding but isn't into water works.
So solo practice continued. I initially learned that I could stop an orgasm from happening by strongly clamping the kegals at the last moment, and thus the water works. I eventually learned that I could clamp enough to stop the water works while still allowing a slightly less enjoyable orgasm. It took a fair amount of solo practice. It takes practice but it can be learned. Then it was time to take it to bed with the wife. I suggest telling the wife or S.O. up front what has to be done. There may be a few light hearted women that are fine with water works and will want to be part of the learning process. But I doubt there's a lot of them. It seems obvious but it's always good to restrict fluid intake before hand and to void your bladder immediately before sexual activity.
Last edited by bldoink on Thu Nov 21, 2024 11:39 am, edited 1 time in total.
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: Postrate surgery
I’m in my late 60’s. I had RRP two years ago. Nerves taken on one side. I started kegals months before surgery. I experienced some minor incontinence, and still occasionally do. It is not, and never has been, significant. My understanding is that a very small percentage of RPP patients will experience more significant in continuance.
I do have ED, as a result of the surgery, but I manage it with Bimix, Furthermore, I’m still alive, and right now, healthy.
I’m confident I made the correct decision.
I do have ED, as a result of the surgery, but I manage it with Bimix, Furthermore, I’m still alive, and right now, healthy.
I’m confident I made the correct decision.
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Re: Postrate surgery
superb_h wrote:Have anyone had postrate surgery. Can you share your experiences. Did you have any incontinence isues? If so, how did you deal with it? Thanks
I PM'ed you....
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)
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