Frequent erections after posterate removal

Good day to all of you. I am new on this forum. so please forgive me if my message is not within the accepted rules.
I am 58yrs old and 16 days post radical prostatectomy. was diagnosed in September this yr with posterate cancer.

PSA - 10.3 (26/06/18
PSA - 10.8 (18.07/18)
MRI - showed changes in posterate
Biospy 6/09/18 - Gleasen score 7 (4+3) Organ contained i both loops Stage II

10 days after the surgery, I noticed some erections though the catheter was on. After removal of the catheter two days ago I have been having frequent erections. Some are hard enough for sex while others aren't. The surgeon did not prescribe anything for Erectile dysfunction. Nurses told me after catheter removal to meet surgeon on10th Jan 2019, a day I have been booked for discussion of lab results of posterate and few lymph nodes that were taken during the surgery

In the absence of ED medications can I used penis pump to make sure enough oxygenated blood flows into the penis while I wait to meet the surgeon. If I need to use the pump can someone suggest what type. I have seen electric ones and manual. Which is good for a beginner like me?

My urine incontinence as at yesterday was almost zero. I am still using the pad I used yesterday before going to bed. Yet to start pelvic muscle exercises tomorrow.

Post Edited (MNP) : 12/9/2018 6:47:24 AM (GMT-7)

and erection is an erection. If you're getting regular ones, there's no need for additional vacuum power when maybe a little helping hand might be enough.

And good report. Sounds like you're healing fast.

Andrew

If your erection lasts an hour don't tell your Dr. Tell EVERYONE!

Thanks very much for your inputs. Will update you on my situation.

MNP, Where'd you get your surgery at? And am I reading it was an open surgery or was it robotic?

MNP said...
My surgery was done in Hamar university hospital. Hamar is in the Oppland county in Norway. This was a Robotic surgery. 6 incissions on the abdomen with the biggest just above the navel. My surgery took 7hrs due to narrow pelvis

I'm going with the rest of the crew MNP. If you're getting erections now....that's about as good as it gets. And....I really do not see any big droop off until you can speak with your doc.

You might call the office to see if he'll call you in some pills. That'll tell ya right there whether he wants you rehabbing until he sees you or not.

Congratulations man.

I am 58, was diagnosed with prostate cancer in September, Gleason 7 (3+4). Had Robotic Prostatectomy on Nov. 15. I am 4 weeks and 2 days post-surgery. Incontinence pretty much under control. One diaper, one pad all day most days. No full erections but have had plenty of feeling since surgery and have been able to have dry orgasms without erection through self stimulation since two weeks and two days after surgery. Have been taking 5mg of Cialis daily. Have probably 30-40% erection. Erections seems to be getting better each time, orgasm feels as good as before surgery. Hoping erection comes back in time.

you can combine pills and pumps.

Good day. Is taking Cialis (Tadalfil) daily better than Sildenafil (viagra). Has anyone a suggestion to this? I am currently on 100mg Sildenafil but this was not meant for daily intake. I have taken it 6 days without any effect in better erection. Want to suggest Cialis to my GP on Tuesday this week.

I'm not sure which is better. I took the Cialis because I had a prescription for it before being diagnosed with prostate cancer. No luck so far but it does seem to help a little. My Urologist who did my surgery doesn't prescribe any ED meds until 6 week follow up appointment (January 9). His reasoning is that he wants you to get the incontinence under control first which I understand. I'm doing pretty well with that so decided to try the Cialis on my own. I'm pretty sure My Urologist will prescribe Viagra first. I'm probably a little impatient, but I, like you OleJ, have had a very strong desire to have sex again. The surgery definitely has not suppressed my libido. If anything, it is stronger than ever.

One thing that some enlightened urologists know is that the drugs (more so cialis than viagra) generally increase blood flow to the pelvis, which helps the overall healing. I also found that the daily cialis seemed to help deal with the drips I was experiencing.

Willie: that's a great question...

Continence: Before surgery, I had some BPH symptoms--incomplete emptying was common--so I had some drips and leaks from time to time. Today, the drips are less predictable as far as frequency, but the volume is more or less the same. My definition works like this: I was continent before, so I'm continent now.

ED: Before surgery, I had occasional issues with ED, to the point where I was occasionally using a pill. Now, I'm on the pill daily, with no major issues. It's different--it takes longer to get there--and it takes more direct stimulation--but everything works when required. My wife and I are both 60 now, and she has been through the change, so the libido just isn't what it was at a younger age. I will also say that I've been surprised (pleasantly) by another difference: the sensations are as good--and sometimes much better--than before. I'm not sure why that is, but it is true.

I have a general comment on ED--and it is also related to some other things my surgeon said: Whatever (be honest) your ED status was before surgery....not what you remember it being when you were 18...expect it to move down at least one or 2 notches on a 0-10 scale. So, if "10" was what it was like when you were 18--and "0" is nothing happening at all, not even being interested (this is the guys on Lupron), if you were at 7 pre-surgery, then you probably will come back from surgery no higher than 5 or 6 without meds. We need to be really careful--and really honest about what we expect--and about where we were before.

I've seen some comments by guys who are fully functional post surgery---but who have a lot of negative words about the loss of ejaculate. There is a lot of this that is in our heads. We think the surgery has permanently un-manned us, so we build a life around that belief. In fact, we can also use the differences to become better, more caring, more honest men, who find ways to satisfy ourselves and our partners in better, more creative ways.

OleJ you mentioned ordering a penis pump. I received mine yesterday & wow what x difference. I had my first erection hard enough for penetrative sex. If I had known about the pump before surgery I would have gotten one sooner for pre-surgery therapy. This thing works - like weight lifting for the penis. I ordered mine off Amazon ($39.99) by Palqueth. The reviews were great & after one use I’d highly recommend. I intend to use it daily for rehab.