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Did your surgeon discuss impact of prostate removal on orgasm?
Prostate Cancer | Last Active: Jan 23 10:12pm | Replies (55)Comment receiving replies
The more important question would be: When, if ever, will I be able to have an erection? I asked, and my doctor said, "most men will regain their ability to have an erection between 3 - 6 months. I call "B.S." on that one. I am starting month "9", and I am still absolutely DEAD down there, DESPITE my urologist saying that he "preserved the neuromuscular bundles" that are necessary for an erection. Now at 9 months post-op he is saying, "It can take some men between 9-12 months to have erections return." I quoted the numerous accounts from this blog, of men who have never had a post-op erection, going on between 2-5 years. My urologist said, "yes, that can and does happen." I asked, "so what about me?" He just raised his eyebrows, shrugged his shoulders, and said "everyone is different...you are still recovering from the surgery...nerves are still regenerating or regaining their function." I said, "yes, but you told me that you preserved my neuromuscular bundles, so I should be having erections now right?" He again said, "everyone is different...you are still healing", and then he smiled and gave me an encouraging pat on the knee like a school boy who just did well on a quiz. Yet another example of why they say physicians "practice" medicine...there is no perfect or "always works" surgery, procedure or treatment. We're just finally part of the fortunate group or the unfortunate group, depending on the permanence of our outcome. We just don't know when to "call it"...when to say "I'm cured and restored as well as I'll be", or "I'll never be cured and restored to full function." Good luck to you.
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7 months after radiation and Lupron ADT and i have absolutely no feeling down there. Very few men i talk to recover any if at all. The problem is definitely ignored by the doctors.
@rlpostrp took a while for me… I’m 1.5 years out. Trimex works, and I saw major improvement when I started getting testosterone injections… But your doc is right, everyone’s different.
@rlpostrp my Dr. timeline to see if there was going to be a return to being able to have erections past RP surgery was 1 year. Now nearly 2 years since getting cut. The only way to get any erection that ends in a satisfactory orgasm is with Trimix injections. As I read others reports same as my own experience the results vary with the dosage and the supplying pharmacy and vendor as along the way with the first pharmacy whose mix provided a good erection their source changed and results were varied and painful post sexual climax. Now have a new pharmacy that at first their mix provided a good result, although recently months into new vials my results are not as rewarding. My erections are short lived about 30 minutes. I’ve never had a 4-5 hr erection as claimed by others. The best has been perhaps 1 hr. So wish you all the best in your new post surgery journey.
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@rlpostrp My Dr did not also emphasize that you use it or lose it. That turns out to be a little bit true. At least the 4 years for me I spent without an erection caused me some penil length and girth. I have seen it mentioned several times. I have it back with the trimix injections but its not nearly the same partner I had prior to surgery. Just not as robust. I guess if you were above average before maybe not such a big deal. I would pursue what needs done now until it does come back. Or if....