Prostatectomy after implant-Complication reattaching urethra?

[Lost Sheep]

I am bound for a prostatectomy and am concerned that reconnecting my urethra may be complicated by the fact that a section of the urethra will be removed along with the prostate.

Will my shortening of the urethra (and the fact that it will still have to stretch form bladder to penis' tip) put extra tension on the graft where urethra connects to the bladder and cause problems for the surgeon or in recovery?

[SteveD]

Second try at response: my experience was RP first then implant. Some corollaries to consider: about 60 days after RP began using a VED, Viagra and stimulation and achieving pre-surgery length without injury or pain. Our bodies are capable of extraordinary things with careful 'stretching.' Your surgeon is sure to have recommendations about how much / how soon - follow their advise.

Glad you've made your decision on course of action. Do I remember posts you made re: prostate-induced orgasms and post-op sensitivity? If still a question PM me or post here - can share my experience.

[Lost Sheep]

Second try at response: my experience was RP first then implant. Some corollaries to consider: about 60 days after RP began using a VED, Viagra and stimulation and achieving pre-surgery length without injury or pain. Our bodies are capable of extraordinary things with careful 'stretching.' Your surgeon is sure to have recommendations about how much / how soon - follow their advise.

Glad you've made your decision on course of action. Do I remember posts you made re: prostate-induced orgasms and post-op sensitivity? If still a question PM me or post here - can share my experience.

SteveD

Thanks for remembering me and my posts.

Yes, I am about to have a prostatectomy and, having had a single prostate orgasm in my life I lament the loss of that potential.

But I am not sure I even had one. But that experience was thundering. I felt it during an extended session of my lover intensely massaging my prostate, seemed much like the hyperventilation-induced altered (spiritual?) state sought in "holotropic breathing".

I did have some information that massage of the perineum or stimulating the leftover nerve endings where the prostate used to be might be able to produce something like a prostate orgasm. But that information is scant.

There is another thread in Franktalk from "Cartman" reporting that he is having multiple orgasms after some cancer treatments including prostatectomy. So I am hopeful something like we are discussing could be in my future.

viewtopic.php?f=6&t=22672

Of course, this thread here was prompted by my concert over incontinence and any other complications of reattaching the urethra to the bladder created by having prostatectomy AFTER implant. I would hate to have my implant damaged by the prostatectomy or the outcome of the prostatectomy compromised by the implant. My surgeon here in my location is reputed to be the best in the State, but my other option is Fred Hutchinson Cancer Center at University of Washington where there are two or three good surgeons that have been recommended to me by prior patients and by another excellent surgeon at UCLA.

[FinallyBionic]

LS,
Because your prostate issue is diagnosed years after getting implanted, you will have no choice but to get your RP with the implant already there. To be honest, after my prostate removal, I found that my size decreased remarkably. I wasn't concerned about measurements at the time as my major issue was to get my erection back. In your case, the implant may help keeping your exposed length, while your bladder can move freely towards your penis base. This is just my understanding, not sure what surgeons can say about it.
Wish you a quick recovery.

[newbie443]

I am sorry to read about your trouble. I wish you all the best with your surgery and a fast recovery. From what I was able to find in web search's it looks to me like the bladder will drop down in the space that was occupied by the prostate. So the loss of the urethra through the prostate will not be a problem.

[FinallyBionic]

I am sorry to read about your trouble. I wish you all the best with your surgery and a fast recovery. From what I was able to find in web search's it looks to me like the bladder will drop down in the space that was occupied by the prostate. So the loss of the urethra through the prostate will not be a problem.

Good to hear that. Very helpful, newbie!

[Lost Sheep]

I am sorry to read about your trouble. I wish you all the best with your surgery and a fast recovery. From what I was able to find in web search's it looks to me like the bladder will drop down in the space that was occupied by the prostate. So the loss of the urethra through the prostate will not be a problem.

Thank you, newbie and finally. That is reassuring. Newbie, I was unable to find anything on the web like you found. And the AI answer on Team Inspire Cancer Support Web Site was no help.

[newbie443]

It's like a water balloon setting on top of a golf ball in a funnel. Take the golf ball out and the water balloon uses the space the golf ball was in. Or in other words the top of the prostate where the urethra is cut is now at the bottom where the lower cut of the urethra was made. The blader adapts as it did when the reservoir was placed in the space next to it. Not able to find the images I did yesterday but that is the best I can explain it. Must be difficult to have to go through this. Glad to be of a little help at least.