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Vacuum pump - Dr Walsh disagrees

Prostate Cancer | Last Active: Sep 9 9:27am | Replies (28)

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This is a thoroughly depressing discussion. I am 4.5 months post-RP surgery. My urologist "claims" in his surgical procedure report that he "preserved both neuro-vascular bundles" that are necessary to achieve and maintain an erection. I do not understand how/why some men have written here over the course of several months, that they "had no problem with achieving and maintaining erections immediately after their catheter was removed." "What?" "How?"
I was a very "capable" 69-year man "pre-surgery", but now I have a big wet noodle hanging down there, that seems to show no sign or hope for the future. I take a daily Cialis that my urologist prescribed right after catheter removal, but it doesn't do anything. This is particularly frustrating, because I am newly divorced after 32 years. I was looking forward to having a satisfying sex life when I meet someone new with whom I want to take things to the bedroom. Now, I have put on the brakes to even be seeking to date someone, because I don't want to disappoint them in the bedroom. Granted, not many women over 65-70 years old are interested in sex...at least at the frequency that I would like...but I need to know that I can perform when the moment presents itself. This just kills all hope for the future. I am also pretty good looking and youthful for my age...I am constantly told that I look 10-15 years younger than I am. I attract women that much younger as well, who are obviously more sexually active and desirous. What normal, healthy woman will want a relationship with a divorced 70-year old post-prostatectomy guy who can't perform, and whose cancer is such that there is a 50% probability of it coming back within the first 5 years (I am a pT3b with EPE, surgical margins, cribriform glands, and left seminal vesicle invasion...both seminal vesicles and both vas deferens were removed with the prostate)? A 45-55 year old woman will definitely want to have sex, but it is pointless to even start an honest relationship where I need to tell them that I am "incapable" (thus far). I still have a bit of random urinary incontinence as well...I wear a diaper. How freakin' unsexy is that ?!?!? This is thoroughly depressing.

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Replies to "This is a thoroughly depressing discussion. I am 4.5 months post-RP surgery. My urologist "claims" in..."

Am a 70 year old in similar circumstances. It can take up to two years to have your penis functioning. In that time you need to do the rehab given to you by your sexual health Dr. You and my age work against us. For me after nearly 2 years, I have a 75% erection but not enough for penetration. Trimix works well for me. If you want additional information on recovery, I'd suggest connecting with A Touchy Subject -- a blog from the UK around men recovering their sexual function post RP.

Be patient and good luck.