Post prostatectomy when to start having anal sex?

[dhl550906]

My doctor didn't talk about when I could start having anal sex again post prostatectomy. Any guidelines guys know about?

Also, Gleason 8 with capsule and one seminal vesicle involved, nodes and metastatic screen negative. What does everyone think about radiation alone vs. hormone therapy.

Have been able to get a mini-erection and bring myself to orgasm with limp penis. Incontinence slowly improving at 3 weeks post surgery.

[YostConner]

The most common response I see is to wait at least six months. There's a fair amount of healing that needs to happen, and it's all right next to the colon.

[dhl550906 in reply to YostConner]

thanks Yost

[Tall_Allen]

While the seminal vesicle involvement and the Gleason 8 are risk factors, they don't prove that they didn't remove all the cancer. You're not risking anything by waiting 3 months to see what your PSA does. If it's confirmed higher than 0.03 ng/ml on an ultrasensitive PSA test, you probably will want early salvage radiation. Whether to add some hormone therapy along with the radiation is a matter of judgment. If your PSA is high (over 0.5 ng/ml) or seems to be rapidly rising, hormone therapy is certainly beneficial. If it seems to be indolent, you may be able to get away without it.

It's not too soon to begin penile rehab (low dose ED meds, daily pumping, and periodic injections). Ask your Uro about anal sex - mine recommends at least 3 months but warned that if you feel any pain at all, stop what you're doing.

[dhl550906 in reply to Tall_Allen]

Thanks so much for the quick response. Really appreciate the suggestions!

Don

[Daddybearblue in reply to Tall_Allen]

Thanks Tall your helping me out again. The big question l had during this process was if "flipping" would get to happen again. I didn't know who or what to ask. I have already made plans to go to a Dallas PC support group and another in Plano but during this time of year regularly scheduled meetings were cancelled until January. Like I said earlier you have helped me many times with your answers to others. Thanks again, Tall. Arlis

[Vitruviusman]

Dhi550906, I think I would wait at least 8 months minimum before trying any kind of intercourse of that nature. I also would make sure that whoever is going to do the penetration that they do it very very slowly and the thrusting should be awesome very slow. You do not know if there is any injury to the anal Canal due to the operation. And you do not want to have a perforated bowel

[dhl550906 in reply to Vitruviusman]

Thanks for the response!

[Daddybearblue in reply to Vitruviusman]

Thanks I'm two months in after RP, there's some hope for later. I'm not quite ready to try this, I'll be thrilled there are erections again and fantasize about flipping later. Thanks for your information. Arlis

[Vitruviusman in reply to Daddybearblue]

I hope all is well. Keep me informed of your process

[misterbarkley]

I agree with Vitruviusman. Take it slow.

[dhl550906 in reply to misterbarkley]

thanks