Facing prostate surgery soon, worried!

User

Posted 04 Oct 2022 at 19:44

Originally Posted by: Online Community Member

I can think of a member who had full nerve sparing but injections, tablets, cream and pump have never worked for him

Interesting. I was under the impression that a pump and constriction rings were a simple matter of physics - letting blood flow into the penis but not out again - and so would work for anyone!

Chris

If atrophy is severe, the spongy tissue can't engorge even with a pump

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 04 Oct 2022 at 19:51

Originally Posted by: Online Community Member

I don't think that data has ever been published but whether or not the man has had nerve sparing should be unrelated as nerves are not needed for the injections to work. I can think of a member who had full nerve sparing but injections, tablets, cream and pump have never worked for him

Would you have an idea on why injections don't seem to work for some people? Provided you are careful with them and stay within your 3 times a week limit, would you say they are safe to be used till you are old?

Dad is 85 and still using Caverject - the risk of dying on the job must be significant but I can't tell him not to do it :-(

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 05 Oct 2022 at 10:08

So having recently had RALP I am starting to adjust to the new norm. Your question what do orgasm feel like? At first they were a bit weak but as I have started to heal they have become more intense. Can't say that they are the same as before but not at all bad. I have ED but with the wife's help get some stirrings. I use a pump, but only for training purposes, to keep the blood flow going. I really think you need to be open to lots of different sexual ideas with your partner.

User

Posted 08 Oct 2022 at 06:15

I have been wondering the following about using injections. Assuming you have no nerves does being aroused help at all in your swelling of the penis when we are talking about an erection that has been generated by an injection?

Also does the dosage you get determine the time and rigidity of the erection? If with 10mg you get 1 hour of an erection would 5mg give you 30mins with an equal rigidity?

Edited by member 08 Oct 2022 at 06:17 | Reason: Not specified

User

Posted 08 Oct 2022 at 11:36

It doesn't work like that. The dosage you will be prescribed is determined by the minimum you need to get an erection. The ED specialist would probably start you on the lowest dose (for Caverject that is 2.5mg) and increase it the next time if 2.5mg didn't work. John only neded 2.5mg but sometimes it didn't work, sometimes it lasted until orgasm, sometimes it lasted a couple of hours and once he had to go to A&E because it had gone on for more than 4 hours.

Being randy or not shouldn't make any difference to whether the injection works but may affect how long the erection lasts.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 08 Oct 2022 at 15:33

Originally Posted by: Online Community Member

Is it that unpredictable with injections? It can work for half an hour and then next time with the same dosage it can go on for hours?

Also according to the theonlineclinic page about invocorp it says that it needs stimulation to work, it won't just work on its own. Eh?

Edited by member 08 Oct 2022 at 15:44 | Reason: Not specified

User

Posted 15 Dec 2022 at 03:50

Am surprised nobody knows the answers to those questions regarding injections but never mind as I might not need them!!

I just had a urology consultation in preparation for my surgery. I was told that due to my age the apex of the prostate where there are all the nerves will be spared so that I'd remain with natural erectile abilities. Mind you my tumor is by the prostate not inside the prostate. They just need to cut a small part of it to ensure the no residual tiny cancer cells are left behind. I will be meeting my urologist again but NHS being NHS it will take a while until then so here I am to ask in case somebody knows.

Does cutting part of the prostate (the bit that doesn't have nerves presumably?) affect the erectile function in any significant way? Would my case be considered similar to a nerve sparing prostatectomy or is there a significant difference between cutting up the prostate by going inside it as opposed to just cutting it from the side?

I am hopeful that worst case scenario I might just need pills? at the same time am worried as I see people who had nerve sparing prostatectomies and yet no erections afterwards!

Lastly I have been doing some research on the penis shrinkage and the information is all over the place. Some studies suggest no loss of length eventually while other studies say the opposite. It seems to me that the reason for the shrinkage isn't only about (if it is) the re-joining of the urethra but that the penis suffers some sort of atrophy from the damaged nerves which cause its shrinkage. Some men have no shrinkage while others up to 2 inches! Perhaps surgical technique might also play a role and also the commitment of patients to rehabilitate their penis afterwards.

Edited by member 15 Dec 2022 at 03:51 | Reason: Not specified

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