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How to Minimize Side Effects of Treatment?

Prostate Cancer | Last Active: Oct 22 6:22am | Replies (16)

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@retireditguy

I'm 70 and reasonably fit (but not excessively so) at 5'11" and 187 lbs, and I had NS RALP (at a cancer center of excellence by an excellent doctor) 5 weeks ago. My recovery after surgery has been good. I never had any incontinence but I still wore a depends for 1 day, then switched to pads for about 4 days, and then I simply went back to normal underwear. I also have a large pad on my side of the bed under the sheet, just in case. Even though I never was incontinent after the catheter came out (except for a couple accidents as I figured out a few things), things do "feel a bit different". For example, with my prostate gone, I urinate like I'm 30 years younger. So when I step up to a urinal, I need to be ready when I "relax" as it starts to flow instantly. No pause like when my old prostate needed to relax before flow started. That's the kind of thing I mean about things "feeling a bit different". It took me a month to gain confidence that I wouldn't have an accident. I did do Kegels for about a month before surgery and resumed them after the catheter came out, so that may have helped my recovery. So at this point 5 weeks after surgery I'm generally "back to normal" for continence. Hopefully it'll stay that way, but who knows. Now to ED. Before surgery I needed Viagra for intercourse, so I wasn't starting from a pristine state. Right now I don't have normal sexual function, and I think that'll take longer to recover (if it does). I am taking Viagra nightly as part of penile rehab to help blood flow. I've only started trying to have intercourse within the last week or so. When I try to have intercourse, I do get a response but it's far from satisfactory. I think I've already seen improvement, but maybe it's my imagination. It's too early to know how much sexual function I'll ultimately recover. As far as everything else, I generally feel great; just like before surgery. My wife and I are hikers and spend a lot of time together, and other than sex, we can still enjoy ALL our other activities. Plus if the ED persists, there's a range of treatments I've yet to explore. So, bottom line for me: at this early time in this unfortunate journey, I have no regrets with my decision. But time will tell.

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Replies to "I'm 70 and reasonably fit (but not excessively so) at 5'11" and 187 lbs, and I..."

Sounds good for you. I had seed implant and radiation treatment 13yrs ago. I'm 77yrs and really having problems with ED. My wife passed 2yrs ago and was fortunate enough to have found a new love but the ED is effecting me in the worst way. I'm on trimix that worked for the first 4yrs but with my wife's health issues and going down Hill we quit having sex. Now that she's gone I thought I could start the Trimix but it isn't working. I hope my Dr. has something up his sleeve that will work
I'm not ready to give up sex. I'm glad to be cancer free.