Penile Implant after prostate cancer surgery: Advice appreciated

I got a Boston Scientific AMS 700 IPP and a AMS 800 AUS last January in a single surgery. I had an excellent surgeon and had very little pain, swelling or bruising. (BTW My surgeon was a small woman with small hands and nimble fingers.) I did not need anything more than Tylenol for pain and even though the recovery period is six weeks, I was recovered from the surgeries much sooner. Taking Tadalafil 5mg daily immediately after and cycling the device twice daily after four weeks will help keep before surgery size. Talk to your surgeon. There are good informational videos on YouTube about maintaining penis size after IPP. Using a penis pump twice daily and taking Tadalafil 5mg daily for a month before the surgery will allow your surgeon to implant the largest device. My wife and I are both very pleased with the outcome.

@cpokerp
I have had My prostate removed at 62. The only real problem was the inability to get an erection.

I know many people that have had this surgery. A number of them have been able to get their nerves spared so they are able to get an erection after the surgery. This is something you should speak to your doctor about.

I had no incontinence problems after they removed the catheter. Some people have incontinence problems that last for many months. There’s just no way of knowing how it will work for you.

I actually went to a couple of client’s offices four days after surgery and worked on their computer issues. Didn’t require me to do anything, but sit in front of a computer. Eight days after surgery I went back to work full-time. Didn’t do any moving or lifting just worked on people’s computer problems. Minimal pain after the second day Tylenol was all that was needed.

None of my clients knew that I had had surgery. I had the catheter in for two weeks and would empty it in the bathroom If necessary. Had the bag for the catheter attached to my leg.

Some people take weeks to recover, At your age, you shouldn’t have any problem at all recovering within a week. Of course you don’t want to do any strenuous activities for at least a few weeks, Ask your doctor what they recommend.

@cpokerp, it's only natural to be scared. You've come to the right place to gather information and learn from the experiences of other men who have walked this path before you. Here are a couple of discussions to help you connect.

- Prostatectomy scheduled at Mayo: more questions about what to expect https://connect.mayoclinic.org/discussion/prostatectomy-scheduled-1st-of-the-week-more-questions/
- RARP scheduled: what to expect for recovery & day-to-day life? https://connect.mayoclinic.org/discussion/rarp-scheduled-what-to-expect-for-day-to-day-life-recovery/

You're not alone.

@jimgaudette That's incredible you had both surgeries at the same time. I'm suffering from both incontinence and ED as well post surgery. Was this an outpatient stay or did you spend a night at the hospital?

Thanks for posting this!
Doug

@dpayton Overnight stay so that everyone in the hospital could come by and look at my privates. 😂It was a four hour surgery because my surgeon worked slow and careful. Minimal pain, swelling and bruising. Quick recovery. I am no longer incontinent and have a great erection that lasts as long as I want. Who could ask for anything more?

I am in the same boat as you at 14 months post surgery and would love to get an implant but the few times I had a slight erection to be able to penetrate I have no feeling or sensation at all. At my one year check up my surgeon had no answer for this especially since he asked if I can feel the needle yet I feel nothing during sex , anyone have this experience? Until I can feel something so I can have an orgasm I’m afraid to get an implant.

@jimgaudette First off, I think I laughed for an hour after reading this. Honestly, thank you so much for this info. I never thought you could have both done on the same day but it makes all the sense in the world!! And happy to hear everything is working as intended. 🙂

Thanks again my friend.
Doug

@cpokerp I am 52 and 3.5 months past surgery with good nerve sparing (according to surgeon over 85% on each side). Still complete ED (which is probably still normal), incontinence is now minimal. My biggest concern is climacturia, which may or may not resolve with time.

@cpokerp And I forgot: Talk to an ED specialist and a pelvic floor physiotherapist now and start before the surgery. I eish I had done it.

@dpayton Before my prostatectomy 10 years ago, my female urologist did a biopsy and afterwards told me that I may have blood in my ejaculate for a day or two. I asked if I needed to wait to ejaculate and she answered: “you can ejaculate now”. I answered “Gee thanks, but I think I’ll wait until I get home” . She quickly left the room. My surgeon (a small Asian woman) for the IPP and AUS asked me why I chose her to do the surgery and I answered “because you have small hands”. She laughed. I then mentioned that she was highly recommended. After my IPP/AUS surgery, an attractive young nurse removed the bandages from my penis and said that it “looked really good “. I thought, but did not say this time, “ I’ll bet your genitals look really good too.”
Humor definitely makes this whole thing a little easier 😊