RP and coronavirus : This may sound... - Prostate Cancer N...

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RP and coronavirus

LBbeachbum profile image
14 Replies

This may sound stupid.

I had a RP 5 months]No radiation or chemo or anything.

Does having RP surgery put me in a higher risk for coronavirus?

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LBbeachbum profile image
LBbeachbum
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14 Replies
Magnus1964 profile image
Magnus1964

I don't think one has anything to do with the other. Take all the precautions not to get the COV19.

dadzone43 profile image
dadzone43

Not a stupid question. The first six weeks after ANY major surgeon you have lowered immunity. You are now stabilized. Your risk is the same as anyone's. Wash your hands.

Jellostone profile image
Jellostone in reply to dadzone43

Is that right that major surgery causes reduced immunity for six weeks? Not challenging, just want to educate myself as I am in the queue for RP for early April. Certainly it’s all in doubt but I’d appreciate more info. Thanks

Handdrummer777 profile image
Handdrummer777 in reply to Jellostone

Absolutely have to have surgery? Are you sure that's the case? Because radiation is usually, but not always, better.

With RP you get instant ED that may or may not recover, incontinence that usually recovers, some degree of nerve damage, penile shortening, perhaps 30% odds you'll need salvage radiation anyway, and some months of ADT. And nearly 2-1 "all-factors-in"- odds against erectile recovery.

Radiation, especially SBRT with just five treatments for example, has been proven to be superior for all age groups for erectile preservation.

ADT is tough for a variety of reasons, not the least of which are slumbering libido and accompanying ED from the no-T environment. But that's a separate issue from this basic argument.

oldbeek profile image
oldbeek in reply to Handdrummer777

I agree. Was supposed to have nerve sparing Rarp. They removed all nerves. Total ed. Leak constantly with full flow when tired. Learn what total ED means. You loose blood flow to your penis and it takes a daily ritual to keep it healthy.

Handdrummer777 profile image
Handdrummer777 in reply to oldbeek

I am so sorry about that. What a raw deal. A friend of mine had a similar result happen. It's tragic. But -- there are options.

OK, so, total ED. Does Trimix work btw?

Daily ritual is...? (VED, continuing stimulation, low-dose tadalafil?)

And your libido is probably down. Mine would be, sure thing.

Do you still desire sex? Meaning including penetrative? (It's all wonderful, really).

Two options exist to achieve that -- with either, you can be a top in fine form, even if you prefer bottoming. Versatility is sexy.

1) internal -- the Implant.

Conquers ED and lasts as long as you want. Small risk of infection.

Doesn't do much to inflate the glans.

2) external -- the Elator.

Holds the stretched flaccid penis steady with a rod and supporting rings. Penetrative success is assured. Accommodates zero to full erection.

How are you with either of these?

Handdrummer777 profile image
Handdrummer777 in reply to Handdrummer777

And what about (don't know name) the artificial urine sphincter? Or would that impact your ability to get the implant?

I think not. Stay strong. Possibly you are done with APC . That’s the hope . Folks in Chemo or under radiation need to use caution . Enjoy your life

dadzone43 profile image
dadzone43

I do not have any references to provide, but surgery is a stressor and stress reduces immunity. The estimates are from two weeks to "many months."

jimreilly profile image
jimreilly

asking "stupid" questions is the way to wisdom, and because you asked I now know about reduced immunity after surgery--thanks!

Wade-o profile image
Wade-o

I was wondering the exact same thing, thanks for asking, now I know

PKLA profile image
PKLA

So was I...not a stupid question at all.

Jeff85705 profile image
Jeff85705

Older people and those with underlying medical conditions are at risk for serious COVID-19 symptoms. If you are otherwise healthy and fully recovered from the surgery, you should have no more risk than anyone else in your age group (you don't mention your age). At least that's my understanding.

j-o-h-n profile image
j-o-h-n

Stay away from beaches.....

Good Luck, Good Health and Good Humor.

j-o-h-n Thursday 03/19/2020 7:51 PM DST

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