1. < Prostate Cancer

changes in penis appearance

Posted by postprostatectomy77 @postprostatectomy77, May 16 9:46am

has anyone experienced a lot of thick fleshy penis shaft skin, a wide shaft, and the skin covering the glans, hanging down making it so difficult to stand and urinate ?

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glenn12157 | @glenn12157 | May 31 11:32am

I have this issue and don’t know what to do about it.I’ve read that penile shrinkage is a possible side effect of RP

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postprostatectomy77 | @postprostatectomy77 | May 31 12:17pm

has anyone tried posting a picture ? now that there is an option in the reply box

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1 reply
postprostatectomy77 | @postprostatectomy77 | May 31 12:19pm
In reply to @postprostatectomy77 "prior to surgery my penis was above average , but have lost 2" 's easy and..." + (show)
@postprostatectomy77

prior to surgery my penis was above average , but have lost 2" 's easy and my testicles have shrunk to lima bean size, and my scrotum has gotten long loose and fleshy, looking empty, with my tiny testicles, I had 8 weeks of radiation, and a Lupron shot, ( a 6 month depot) My body image is horrible, fat around waist line ( love handles ) , and man breasts formed, embarrassed to visit pool and beach, I need to except it, but its difficult, was a time I enjoyed the nude beach and pool, and not self conscious in the gym shower, that's all gone

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I wanted to post a picture of the changes, now that it appears there is an option in the reply box, anyone try ?

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surftohealth88 | @surftohealth88 | May 31 4:41pm

Please don't ! There is absolutely no reason for that. This is public place and posting photos of genitals is really not necessary. If you wish to exchange photos with other "willing" members than do it via private e-mails.

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Moderator
Colleen Young, Connect Director | @colleenyoung | May 31 4:48pm
In reply to @postprostatectomy77 "has anyone tried posting a picture ? now that there is an option in the reply..." + (show)
@postprostatectomy77

has anyone tried posting a picture ? now that there is an option in the reply box

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@postprostatectomy77,

Mayo Clinic Connect is a public forum. Sharing images of genitalia is not permitted. Such photos will be removed.

Please see guideline number 6 in the Mayo Clinic Community Guidelines (https://connect.mayoclinic.org/blog/about-connect/tab/community-guidelines/)

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1 reply
bluegill | @bluegill | May 31 9:08pm

In answer to the popular song gleefully sung by adolescent boys, I offer the following:

No, my balls do not hang low
They do not wobble to and fro
I cannot tie them in a knot, nor can I tie them in a bow
I cannot throw them over my shoulder as if I were a regimented soldier
In short, my balls do not hang low

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2 replies
heavyphil | @heavyphil | Jun 1 8:06am
In reply to @bluegill "In answer to the popular song gleefully sung by adolescent boys, I offer the following: No,..." + (show)
@bluegill

In answer to the popular song gleefully sung by adolescent boys, I offer the following:

No, my balls do not hang low
They do not wobble to and fro
I cannot tie them in a knot, nor can I tie them in a bow
I cannot throw them over my shoulder as if I were a regimented soldier
In short, my balls do not hang low

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Keep going! That was one of my favorites after I Wanna Hold Your Hand…🤣

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postprostatectomy77 | @postprostatectomy77 | Jun 1 8:56am
In reply to @colleenyoung "@postprostatectomy77, Mayo Clinic Connect is a public forum. Sharing images of genitalia is not permitted. Such..." + (show)
@colleenyoung

@postprostatectomy77,

Mayo Clinic Connect is a public forum. Sharing images of genitalia is not permitted. Such photos will be removed.

Please see guideline number 6 in the Mayo Clinic Community Guidelines (https://connect.mayoclinic.org/blog/about-connect/tab/community-guidelines/)

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ok sorry, I saw the " add photo/files in comment box and thought that was ok, many of us suffer from genital changes, and some of us would might like to see how good, or bad things compare, sorry for any problems or negative thoughts or assumptions

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rbeshany | @rbeshany | Jun 1 10:35am
In reply to @postprostatectomy77 "I am exactly the same the look of my short wide fleshy penis with the skin..." + (show)
@postprostatectomy77

I am exactly the same the look of my short wide fleshy penis with the skin hanging long over my glans isn't attractive to most, I don't feel comfortable enough to go back to the nude beach or club pool, and always wear a towel in gym shower, my arm muscles are gone, leaving crepe skin, and wrinkles, its so demeaning and depressing I'm trying to enjoy the look of my genitals ,my wife is supportive, but agrees both penis and scrotum have changed so much

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When the prostate is removed the surgeon must connect the bladder to the base of the penis and this results in a retracted penis.

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1 reply
retireddoc | @retireddoc | Jun 2 7:10am
In reply to @rbeshany "When the prostate is removed the surgeon must connect the bladder to the base of the..." + (show)
@rbeshany

When the prostate is removed the surgeon must connect the bladder to the base of the penis and this results in a retracted penis.

Jump to this post

According to my urologist, who has performed thousands of RP, this is not true. The urethra is cut at the base of the bladder where it enters the prostate gland and below the prostate where it exits. The bladder is mobile and "drops" to reconnect the urethra. The penile urethra is fairly immobile and is not pulled up to reconnect.

Men do report loss of length following surgery but for many men this is temporary. Some believe penile shrinkage with RP and ADT is secondary to loss of nocturnal (and otherwise) erections which results in atrophy of the cavernosa penile tissue (smooth muscle). Reports indicate this atrophy can be ameliorated by using oral daily meds (Cialis), penile pump and/or Trimix injections to stretch the penile tissue.

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