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DiscussionUpcoming Second biopsy: Nervous but better prepared this time
Prostate Cancer | Last Active: Feb 7 2:08pm | Replies (14)Comment receiving replies
Replies to "survivor5280 Can you please tell us where you have this total prostatectomy done? And by what..."
I had it done in Lee county Florida by Dr Kline best surgeon ever. I doing great after one year of prostate removal
My prostatectomy was performed at UCHealth Highlands Ranch in Colorado.
My situation, like everyone's, may be different than yours, and this may have changed the outcome:
- Younger than many men who get PC at just 54
- Almost complete nerve sparing surgery
- Lymph nodes spared
- Three months of significant fitness training by a personal trainer with emphasis on pelvic floor and core strength BEFORE surgery
- Three months of pelvic floor therapy by a doctor to ensure I was making progress BEFORE surgery
- 5mg tadalafil (Cialis) and l-citrulline (natural supplement extracted from grapefruit) for a month before surgery, both effective to keep your nerve bundles firing and recovering faster, despite no history of previous ED
- Non-standard procedure during surgery called anterior urethropexy, which is usually only done once you have a history of stress incontinence (and in fact my insurance refused to cover it because there was no history) but that has proven 95%+ effective for stress incontinence and helps with general incontinence as well
This is all to say that I went straight to work when I got the news to control the only things within my control and worked very hard to get what I assumed was maybe a few percentage points better chances at continence and erectile function. I felt very good that incontinence would be a non-issue for me, but ED was still a concern - however pelvic floor can help with that as well so long as you do have some nerves spared during surgery.
Three days before surgery, my pelvic floor therapist commented that I had one of the healthiest and strongest pelvic floors she had worked with and wished more men would take the routes that I did before surgery rather than seeing her only after there is a problem to fix.
I hope that helps!