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Pump usage post prostatectomy? lost size?

User
Posted 18 Feb 2024 at 22:32

Hi Pratap, I think SomaErect vs Vaccurect debate will rage on. However, I can only go from my experience and having tried both VEDs prefer the Vaccurect VED.

User
Posted 18 Feb 2024 at 22:45

There is some useful  information in this link:

Preserving penis length after radical prostatectomy Harvard Health https://www.health.harvard.edu › blog › preservin

 

Edited by member 18 Feb 2024 at 22:48  | Reason: Not specified

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 19 Feb 2024 at 00:03

Yup, I have seen this study. I am more curious about whether a pump can bring back lost length or not. I have seen many who report that with pumping they were able to claim back their loses or most of them but they don't explain any details (measuring technique etc.) so am not sure how reliable their reporting is. 

Due to my trust not believing in pumps I have only started regular pumping 11 months post prostatectomy.

User
Posted 19 Feb 2024 at 00:11

Originally Posted by: Online Community Member

Have I gained the length and girth back? My natural erection size is pitiful compared to what it once was, however the pumped up version is close enough to its former glory! I don't know if the pumped up erection length is a realistic indication  or just artificial.



This is what am looking to find. I had, with a pubic bone pressed measurement, 6 inches before my surgery. Now with pumping I am at  5in 1/4 going by the measurement of the cylinder however am hoping I can get some loses back. I am trying to make into a habit to pump myself daily for 10mins. I am due to start injections in the coming months so am kinda worried of what my non pumped version result will be. I don't want to be under 5 inches. If am not happy with the injections i'll go for the implant as I will be having nothing to lose. 

User
Posted 19 Feb 2024 at 00:18

Thanks Pratap, that’s an interesting read, it implies having good blood flow helps to keep the length. I had nerve sparing 6 months ago and get some erections, although not like before. I use the pump for sex but not rehab daily. I am currently taking Tadaladil daily for blood flow. I wonder if it would be good to take indefinitely to keep the  blood flow going, I read somewhere that 12 months is enough for the daily medication, although recovery can take up to 2 years.

User
Posted 19 Feb 2024 at 10:48

Originally Posted by: Online Community Member

It is also bit scary as the shaft of my todger is now considerably reduced to what it was and jabbing the needle into the glans fills me with dread.

Obviously you should NEVER jab the glans!
I am very small when relaxed - I mean it resembles an acorn and can at times completely disappear but I was shown by the urologist how to pull on the glans to stretch it which encourages some limited blood flow into the shaft and after maybe a minute, there is sufficient shaft visible to inject into. Basically I target about 2cm from the base and alternate between left and right sides - the day that inject the left side is harder as I am right handed and I have felt that I made a mistake once, but no harm done.
After the first few times, you get the hang of it and it's a non-event. Just massage it after the injection to move the liquid around a bit and wait for the magic to happen.

User
Posted 19 Feb 2024 at 11:28

https://pubmed.ncbi.nlm.nih.gov/23102441/

Shows that on average, a man, who's done no penile rehabilitation, after a prostatectomy, loses 10mm length.

Because I've got lots of time on my hands I've done a lot of research on the effects on the penis after prostatectomy. After 67 years, I've become rather attached to mine.

It seems, considering it's so important to men, that there has been very little research in the subject. 

The rehabilitation efficacy of pumps is rather inconclusive. I could put links to this but can't really be *rsed. 

Most research suggests that after a couple of years the average man will regain most of his penile length.

If I lose half an inch,  I can live with with that 5% reduction. 😁

Edited by member 19 Feb 2024 at 11:30  | Reason: Not specified

User
Posted 19 Feb 2024 at 12:51
Interesting.

I suspect that there has been little research on the subject as it's not something people should worry about. The length/size has little to do with your ability to satisfy your partner and our obsession with matching the oversized offerings in the porn industry is purely in our minds.

My wife had an ex-boyfriend when she was younger who became 'ex' because she told him that he wasn't putting that 'thing' anywhere near her. She enjoys intercourse for the pleasure, not for the pain.

User
Posted 19 Feb 2024 at 13:40

Originally Posted by: Online Community Member

My wife had an ex-boyfriend when she was younger who became 'ex' because she told him that he wasn't putting that 'thing' anywhere near her.

Yeah, I remember it well. 😉

Only joking mate.

Edited by member 19 Feb 2024 at 14:42  | Reason: typo

User
Posted 19 Feb 2024 at 14:09

Hi Jimmy

The information about whether a vacuum pump can re-establish the length off a penis to something like it was before prostatectomy is not available. However a urethra is a flexible/extendable part of the urinary system so it is obvious that if you use a pump regularly over a few months your penis will regain at least some of the apparent loss of length. Here is my experience: I started using the NHS prescribed Somaerect about 8 weeks after my surgery; it was a messy business because I was still leaking urine! After further 4/5 weeks of practice I was able to inflate my penis up to about half way up the vacuum cylinder (4 inches) and we were able to have penetrative sex, showing that both you and wife/partner can experience orgasm even with a relatively quite short penis! Gradually over the next 4/5 months I was able to inflate my penis to about 2 inches (2/3 finger width) short of the top of the cylinder. I have just measured the length of the vacuum cylinder which is just under 8 inches. So I am able to achieve an erection about 5.5/6 inches long, which appears to be the average size of an erect penis; I always knew that I am an average sort of guy!

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 19 Feb 2024 at 16:48

Originally Posted by: Online Community Member

Hi Jimmy

The information about whether a vacuum pump can re-establish the length off a penis to something like it was before prostatectomy is not available. However a urethra is a flexible/extendable part of the urinary system so it is obvious that if you use a pump regularly over a few months your penis will regain at least some of the apparent loss of length. Here is my experience: I started using the NHS prescribed Somaerect about 8 weeks after my surgery; it was a messy business because I was still leaking urine! After further 4/5 weeks of practice I was able to inflate my penis up to about half way up the vacuum cylinder (4 inches) and we were able to have penetrative sex, showing that both you and wife/partner can experience orgasm even with a relatively quite short penis! Gradually over the next 4/5 months I was able to inflate my penis to about 2 inches (2/3 finger width) short of the top of the cylinder. I have just measured the length of the vacuum cylinder which is just under 8 inches. So I am able to achieve an erection about 5.5/6 inches long, which appears to be the average size of an erect penis; I always knew that I am an average sort of guy!



With injections/implant what is your measured length though and how do you measure? I don't think an injected penis is as as long as pumped one. From what you are saying pumping did make a significant difference however you don't provide details. What was your pumping rehab? 10mins a day? What was your size before surgery?

Is it not established at all that the reason for penile shortening is urethra related. Many men, like me, don't have a urethra anymore so this wouldn't apply but we still end up losing length.

Edited by member 19 Feb 2024 at 16:56  | Reason: Not specified

User
Posted 20 Feb 2024 at 07:43

Have a look at this video good informative explanation of what is happening 

https://youtu.be/Cr1rQvevSsM?si=ywmEnjV65AjBWcSa

 

User
Posted 20 Feb 2024 at 11:25

Originally Posted by: Online Community Member

Have a look at this video good informative explanation of what is happening 

https://youtu.be/Cr1rQvevSsM?si=ywmEnjV65AjBWcSa

 

I love the touchy subject videos and info, Victoria has such a lovely way of describing things.

Thanks Chris 

User
Posted 20 Feb 2024 at 14:17

Originally Posted by: Online Community Member

I love the touchy subject videos and info, Victoria has such a lovely way of describing things.

Thanks Chris 

Same here I can vouch for the touchy subject videos on YouTube. I find the language very simple and easy to follow.

User
Posted 01 Mar 2024 at 11:18

I had non-nerve sparing radical prostatectomy back in July so I knew natural erections were going to be a thing of the past. I am not sexually active with a partner and luckily, I can achieve an orgasm fairly easily by masturbating my flaccid penis - indeed I am one of the fortunate ones who have experienced far better orgasms since surgery. I was offered help by my consultant to get erections which I declined at the time. However, following my first three month psa test, the nurse recommended using a pump to prevent atrophy. The hospital trust provided me with one for free two weeks ago and I am currently using it daily.

I knew that my penis might possibly shrink in length after surgery and lo and behold, it did. I am wondering how much length it might recover with pumping. Personally, I find it no big deal. Yes, it’s a bit messy with the lubrication but the experience is not an unpleasant one. In fact, I find it gives me a nice tingling feeling down below. I was amazed how quickly the penis grows from the first few pumps, and how, as I repeat the action several times, I am able to get bigger and bigger erections. My one attempt so far to maintain my erection was partly successful. I was left with a much enlarged penis but it was t fully erect. This may mean I need to pump it up more before sliding on the constrictor. 

One strange effect I get in the morning is that when I wake up, I y penis feels like it is erect just like it always was pre-op. However, I know this can’t be the case and when I check, it’s as flaccid as usual. I’m not sure what’s going on there - no doubt something to do with my brain.

User
Posted 01 Mar 2024 at 11:31

Originally Posted by: Online Community Member
One strange effect I get in the morning is that when I wake up, I y penis feels like it is erect just like it always was pre-op. However, I know this can’t be the case and when I check, it’s as flaccid as usual. I’m not sure what’s going on there - no doubt something to do with my brain.

I get that. Cruel isn't it.

User
Posted 01 Mar 2024 at 11:35
Yes, and it gets me every time even though I know there is no way.
 
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