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wpg215 avatar

time to decide and I'm stuck....

Prostate Cancer | Last Active: Nov 3 8:05pm | Replies (58)

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Profile picture for suzdog @suzdog

@jeffmarc I disagree. I did look into the surgeon's facts and here is what I found. I understand the guys that report no problems but you won't have the guys saying, Hey I can't have sex anymore. They would keep that quiet. So here is the stats. The number of men who cannot get an erection after prostate surgery varies, but studies show rates can be between 30% and 80% within the first two years, with many men experiencing significant improvement over time. For example, one study found that after 18 months, nearly 60% of men could not get an erection, but this number dropped to about 42% after two years. Recovery rates depend heavily on factors like the surgeon's experience, whether the surgery was nerve-sparing, and the individual's age and overall health.

As far as wearing a diaper goes here is the stats on that. Most men will need to wear a diaper or pad for at least a few weeks after prostate surgery, and many will continue to have some leakage for up to a year. While nearly all men experience some degree of urinary incontinence immediately after surgery, the need for a diaper decreases over time, and long-term incontinence is a concern for about 5–15% of men.

So those stats told me to stay away. Your synopsis doesn't reflect this data so not sure where you are getting yours from except for maybe reading only the positive reviews. Those stats aren't made up.

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Replies to "@jeffmarc I disagree. I did look into the surgeon's facts and here is what I found...."

@suzdog
Did you ever read those stat :

"Approximately 50% of men develop erectile dysfunction (ED) after prostate radiation, though rates can range from 25% to 70% depending on the study and follow-up time. This can be a gradual process that may begin within six months of treatment, with recovery to baseline function possible for many over two to three years".

As I mentioned in my previous post - both RP and RT have the same amount of side-effects. Difference is that for RP they are immediate and they tend to recover over time and for RT they are somewhat delayed.

Also, it is not true that patients are quiet about ED - here we have very honest and open discussions about it and you will find numerous posts about that issue.

@suzdog
I’m not only gone by stats, but on peoples experience and both of them have shown me that the numbers you are quoting don’t match newer experiences.

If they are able to save the nerves, Something that has relatively recently been done, Then there is a really good chance of being able to get an erection. Maybe not immediately, but within a few months. Even people who have had half the nerve spared have been able to get erections. Is this something the doctor that you talk to discussed with you?

Most men have very short periods of time before their leakage stops. Some like me don’t have any. Those that have serious problems may go out to a year, but those are not the usual case, very low percentage is according to surgeons I’ve heard from in recent online conferences. After years of being on online forums I have not heard that much. I attend nine online advanced prostate cancer forums every month And hear complaints from a lot of people. I must admit that five years after having radiation and almost 9 years after surgery I did start to have incontinence problems. That combination of treatments is going to cause future problems for many people.