I am 7 weeks out from surgery and all is pretty good. (3+4 Gleason, 8.8 PSA, 64 years old and excellent health). Catheter came out after 7 days. Incontinence issues not as bad as I anticipated. Diligent kegel practice. Also doing that pump thing so penis appears not to have lost any size/girth.
Was off my daily exercise regime (yoga) for 6 weeks and after a few classes this last week, I feel like I'm not too far from where I was when I went in for surgery. Still need a pad just to be safe!
The problem is ED meds (tadafil and viagra). Both cause rather unpleasant acid reflux. It's gotten to the point where I've stopped taking the meds.
I've masturbated and experienced "ejaculation" a number of times but the urine coming before and at climax is kinda weird and takes some getting used to. (No there yet....)
My question.... Can I expect to ever have a decent erection (if "10" was what it used to be, I'd be happy with an "8" but right now I feel like the best I can get is a 5 or 6.) Prior to surgery, I'd never needed ED meds (grateful) and if anything, getting hard was too easy. (More grateful!)
Anybody been down this road? I'd love to avoid the ED meds. They just mess with my appetite and exercise regime.
Thanks all.
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owenpop
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I've tried citrulline and arginine to increase nitric oxide. I think it helps a little. Perhaps take daily Prilosec to prevent the excess acid. One problem with ED meds is they may exacerbate incontinence (tadalafil is indicated for LUTS because it makes peeing easier) and may contribute to climacturia. You may be better off switching to "on demand" ED meds, along with your daily pumping. If you want a stronger erection, you may be able to attain that with trimix.
You are a font of wisdom and we're really lucky to have you on this platform. Thanks for your thoughtful reply. l will give Prilosec a try with Viagra. (I gave up that Tadafil weeks ago.)
Seeing Urologist tomorrow and will discuss Trimix.
As for "on demand" ED meds, would that be inline with my urologist's instruction to load up on Viagra (100mgs) 1 hour prior to intercourse? And Trimix (not both simultaneously, of course.)
Does daily pumping enhance/increase the chances of a stronger erection? I thought it was only for 'restoring' the penis to 'original' size.
And the amino acids will be first on the list b/c I'm inclined to do anything/everything homeopathic before jumping into medications....
My URO sent me to physical therapy that specialized in penile rehab. Sh put me on VAC daily and trimix every 5 days. At 3 months th URO told me he removed all my nerves. Got an implant. Have climatura also.
It works very well, but the nerves that cause the glans and the rest of my penis to fill out were removed also. Erections and filling are triggered by 2 separate nerve bundles. My sensation is down but this is all I have now. After RP my penis was a turtle. With the implant, flaccid is just 1/2 inch shorter than erect. Lots of junk to store away.
Seeing Urologist tomorrow and will discuss Trimix.
<<<
A very good idea!
You won't get any erectile action from oral drugs, until your erectile nerves have recovered from surgery. Whatever your surgeon says about "sparing the nerves", it's a toss-up (maybe 50/50 odds, less IMHO) whether they will recover over the two years after surgery.
Tri-mix and bi-mix have a good chance of working. The "Yuck!" factor is large, until you get your first post-surgical erection. After that, the injection becomes an acceptable cost for real intercourse.
My experience is that an orgasm, with an erect penis, doesn't leak much (if any) urine.
I take a bunch of drugs for various reasons so I have found several drugs have given me acid reflux or at least a feeling of acidity in stomach (Viagra did, Cialis doesn't). Doctors advised to try taking them with food, and/or taking with Acidophilus. Both methods have worked well for me. As long as the drug instructions don't say "take on empty stomach" you should be o.k. doing that (I've not seen that warning on any of the ED meds). I've also learned that for me "with food" means «in the middle of the meal». One of my drugs is an acid itself so really triggers the GERD, so I find making sure I take it mid-meal then cover it with more food makes the problem go away. Experiment, see what works for you.
Have patience as it takes time to recover your erections. I am 18 months out and just starting to get a bit of a boner on viagra. Trimix is a blessing,
I had my RP back in June '18. I was 63, G9 advanced PCa. From clear scans Dx'd localized. My surgeon specializes in nerve-sparing, however since PCa was found extra-capsular 2/3 of right side never bundle was removed. I am now almost 21 mos. post RP. Following are my experiences to date, as an offering that they can assist you (or others?) in recovery choices.
Continence issues (requiring pads) continued for over half a year. Prior to surgery, I never had any issues in this respect. Then it got better to where I seldom need pads (occasional drip). This change seemed to come about sudden. God bless kegel exercises! I discovered you can overdo them. Make it a daily routine, but don't be excessive as I initially did.
I too suffered ED, say a 5 or 6 out of a 10. Like you, I had no issues at all prior to surgery. Initially, the thought of using a pump or taking enhancement pills was uncomfortable to me. Instead I chose to give my body time to heal on its' own. I did however continue kegels.
After a year's time (post RP) - I began experimenting with sildenafil (viagra). Prescription was 1 to 5 pills per use (20mg each). I tried all dosages several times over. I found that more than 2 pills (40mg) did not make any more of a difference in stimulation. I also purchased a pump, and have found it useful. With both, I can achieve enough strength for intercourse.
The sildenafil had a negative side-effect. It provided the blood rush to my penis, but gave me a pressure headache as well. It was uncomfortable. Enough that I would decide each time if the tradeoff was worth the undertaking. I found that 2 aspirin (Excedrin) after would relieve the headache. I next found that 1 Excedrin taken at the same time I take sildenafil worked!
if anyone had asked me years ago, if i would ever be bragging that my tits were bigger than someone else's, i'd have gone cross-eyed just imagining it! but after almost 2 yrs of casodex and finasteride, my gynecomastia has produced some enviable breasties, at least a big as... well not dolly parton yet, but i'm getting there!
an oldie but moldie. we need new material, buddy. That sign over Jesus' head, on top of the cross, with the letters INRI - my Roman Catholic friend Anthony once told me what it stood for, and for many years, I thought it was I'm Nailed Right In. Then i found out it was If Nobody Remembers It. The truth sounds crazier than alla those. Turns out there's no "J" in Latin, so they have to use "I" - How smart could the Romans have been, with no J in their alphabet? Then Spanish, a language offshoot of ancient Latin, has no name for the letter Y, so they call it Greek "I" and use a double L for the Y sound. Is it any wonder our poor kids can't get a decent education anymore? wow, these cancer meds are doing wonders for my brain. The rest of me may be rotting away but my brain sure is rotting away. Wait... what? Oh nevermind.
if it's anything like Russian, with the same noun declensions as Latin, then yeah, no thanks! but what's with the lucky number? can't ya pick one with less digits?
googed 'roman senate vote to kill caesar' - and 'did caesar take intravenous meds on the golf course?' into the valley of Hades rode the 50 thousand and 50 cents? 50 degrees dropping to 0 then bouncing back to... there's even an unsecure website, fiftyzerofifty dot com.... nothing there. Two 50s are bookends for a zero.
Brother John, you're leaving something out or my supplements need adjusting.
if it has ANYTHING to do with sports, then fuh gedda bout it, i would not know. Loved playing all kindsa sports cause i was good at most but professional sports? BOOORRRRRINGGGGGG
i learned it shave and a haircut... 2 bits, not 4... so now it's Claudius, not Brutus, Caesar's trusted friend. 50 BC, then year zero, then 50 AD... right around the time Romans were crucifying people right and left... wait a minute.... groucho's real name was Julius... as in Caesar... five oh oh five oh.... get lost? drop dead?
exercise if possible, to increase blood flow. kegel exercises, again, if possible. I've used viagra and cialis, had exact same effect! as Yohimbe - an herbal supplement. Ask you doctor before trying it. The pharmaceuticals are supposed to lower b/p but spiked mine.
got a sure natural cure for acid reflux..... ok, won't bribe you with that. Get Papaya Papain, chewable, very tasty. DO NOT chew up more than 2 at a time. Have 2 friends who suffered terribly, both cannot thank me enuff. puritan.com/puritans-pride-...
yeah, joke, didn't work. Senate Peopleand Roman... word by word. Studied Latin for 2 years in 7-8 grades. Adding -que onto a word means "and" that word. Still awkward. Coulda been Senatus Populusque Romae, not Romanus.
I was born with another baby, same hospital, from same mother, at the same time, same father, yet he's not my twin. Who is he? -- not the least bit curious, eh? ah well....
jesus' lucky number, stupid romans, FOUR!, ... 5-penny nail in left hand, another in right, zero in the brain... oh phooey! outside/inside the box, shroedinger's cat... stream of consciousness.... wheeeee!!!
egads! newark nj, where i attended my first holy-roller baptist service, age 21... and the guy who invited me? wow!!! his nickname was SPEEDY !!!! lol not kidding!!
in fact, callin a redheaded female friend... who's christian and loves bowling. and who knows the names of all my initials. but she's probly asleep - damn 3-hour time difference!!!
well thanx for not giving me the answer, john - and SPEEDY for honoring your discipline. seriously, amigos. made me think outside shroedinger's box! but i may never use lol ever again.
...and with that, i will leave you with this little gem, that you might know.
With proper punctuation, this actually makes sense and is grammatically correct.
So I suddenly woke up at 3 AM this morning and remembered that I wanted to let you know, that I know it's 2 bits and not 4 bits... "Shave and a haircut......"
Always remember to "take cover and keep your head low".....
To say of what is that it is not, or of what is not that it is, is false, ...Aristotle
To say of what is that it is not, or of what is not that it is, is false, while to say of what is that it is, and of what is not that it is not, is true.
Well for me, I rather it was the lady who kicked the bucket...from a gigantic O.G..... They give out medals for that.... It's called the purplehearton.....
errmm... if i were a genie... and someone wished me not to grant their wish... first i would take an aspirin from the brain ache. then i would strangle that person, go back in my lamp, with my 72 virgins (down to 33), smoke some funny stuff and laugh til my Depends needed changing.
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