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when does penile rehab begin ?

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Posted 6/17/2014 3:38 PM (GMT 0)
my prostate was removed May 29 so I am still trying to keep my pads dry.

When my catheter was removed a week ago I was given a followup appointment for a PSA test in 3 weeks from now - followed up with a meeting with the surgeon to talk about my pathology report and whatever needs to be done to/for me.

I think I have read here that many of you were given oral medication increasing blood flow almost right after surgery ... is this correct ?

Every case is different and every urologist may have different treatments, so I was just wondering ....
Posted 6/17/2014 4:21 PM (GMT 0)
As I posted on your other thread, I was told to start Viagra 72 hours after the catheter was removed just to get blood flowing to the nerves.

I actually attended an ED/Incontinence seminar the afternoon my catheter was removed. It was put on by the staff of my surgeon at the hospital. He has one every Monday and that just happened to be the day my cath was removed. Representatives from a VED company were there to explain the use and purpose of the pump and to help fill out the paperwork to order one. It was totally covered by my insurance plan.

We were told what to expect and what our rehab plan was going to be, given literature and saw a slide presentation. Most everyone had their wives or partners with them at the seminar.

You do need to use it before you loose it but you need to allow some healing time first. It was a very complicated surgery and you don't want to start too soon.

My doctor didn't order the first PSA test until 3 months post-op. 30 days after surgery sounds a little too soon compared to most of the guys here.

Bill from Florida cool
Posted 6/17/2014 4:37 PM (GMT 0)
In fact, some advocate starting low dose ED meds even before the surgery. There is no harm in taking them now. They help maintain blood flood for those critical nighttime erections. They can help prevent deterioration of the tissue, and the concomitant shrinkage, even if you are not yet experiencing full erections.
Posted 6/22/2014 1:28 PM (GMT 0)
I was told by a few guys to read "Saving your sex life" by John P Muhhall. Theres a lot of good info, one of the things he talks about are nocturnal erections that stop from surgery for a while during healing of nerves. I would check it out. Its costly to take Viagra but I was able to get siledenfal in small doses for around 1/6th of the cost of Viagra and I wish I had found this information out right after surgery. So I would investigate his approach incase you agree with his approach. GOOD LUCK!!!!!!!!!!!!!!!!!!
Posted 6/22/2014 3:08 PM (GMT 0)
I strongly recommend Dr. Mulhall's book. Link below in my signature.

-Gedman
Posted 6/22/2014 8:21 PM (GMT 0)

johncaelen said...
...... Its costly to take Viagra but I was able to get siledenfal in small doses for around 1/6th of the cost of Viagra and I wish I had found this information out right after surgery.......

John, how did you get sildenafil, I suppose generic? Did you get a specific prescription for the cheaper stuff?
Bill
Posted 6/22/2014 10:17 PM (GMT 0)
BillyBob, I asked my surgeon for prescription for Ravoto cause that was recommended on this web site and he said no but that he would send a prescription for sildenafil, I forget what the dose it was but when I went to have it filled it wasn't any cheaper then Viagra. That was when the pharmacist said she would call my doctor and have him fill out the prescription for 20mg tabs (5=100mg Viagra). I got 40 pills for $43. I think there for hypertension but they work exactly like Viagra for me. The added benefit is I am doing John Mulhall's rehab so I can take 1 or 2 tabs at night without breaking anything up and its 1 or 2 dollars a day. I wish I found this out right after my surgery as I am definitely getting nocturnal erections now or more often now that Im taking sildenafil. If you have more questions don't hesitate to e-mail me.
Posted 6/23/2014 2:22 AM (GMT 0)
So getting the Sildenafil in 20 mg tabs was the key to getting a generic price? Thx, John, I will ask about that, as well as getting my doc to prescribe Revatio off label.
Bill
Posted 6/23/2014 10:58 AM (GMT 0)
Bill, ya my surgeon sent me prescript for 100 mg tabs and I think I got lucky and had the right pharmacist at the window, kinda got the feeling that the 20mg tabs are for treatment of hypertension that reflects the price but I could be totally wrong bout that GOOD LUCK
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