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Prostatectomy or Not

Prostate Cancer | Last Active: 2 days ago | Replies (25)
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Profile picture for jeff Marchi @jeffmarc

@jmhabo
Did the surgeon spare the nerves when he was doing the prostatectomy?. If so, you can usually get your erection back within a few months.

Having incontinence after surgery is not uncommon. It usually gets better over time and improves considerably. In my case, I had no incontinence after they remove the catheter, But most people have some.

There are many solutions to incontinence issues. You should get a penis pump, Speak to your surgeon about it. I was given one A few weeks after surgery. You should be taking Cialis regularly to keep the blood flow working. You may not get an erection right away, but it helps prepare you for it.

Things will get better. There’s no reason to get really down about what’s going on right away after surgery.

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Replies to "@jmhabo Did the surgeon spare the nerves when he was doing the prostatectomy?. If so, you..."
hlieberman1 | @hlieberman1 | Nov 8 9:49pm

@jeffmarc

My doc proudly announced that he had saved the nerves. I’m glad he did.

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sanDGuy | @sandguy | 6 days ago

@jeffmarc
With all due, great respect, Jeff, I think your advice here is a little confusing. The penis pump will address ED, not incontinence!
Furthermore, he probably shouldn't mess with one until he is cleared for sexual activity, which was, in my case for example, six weeks following the RARP. I was, however, immediately prescribed the Cialis, as you say.
jmhabo, I'm six weeks past my RARP, and my incontinence just recently seems to be improving some, so be patient! Also, I agree that 100 kegels/day sounds very excessive! Furthermore, stopping the urine flow as Dr. Walsh recommends can have other negative effects. I was told to do sets of ten kegels three times a day, whether lying down or sitting. I generally hold each one about six seconds. As I said, I do seem to be improving, plus I had conducted that regimen starting several weeks before my surgery.
We're in a similar boat, from the sound of things, but do be patient as your body still has some significant healing to do, and it deserves the respect and time to do so.

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