Vacuum pump advice needed

Turning 70 in a couple months, 68 at surgery.

Got ten yrs on you , good luck

On ADT (Orgovyx) and tadalafil 10 mg daily. My VED works fine, but it is NOT a sexually stimulating experience and my ADT-depressed-libido is so absent that I have NO desire to try to achieve an orgasm once my therapeutic session with the device is ended. It's an unhappy situation; maybe more so for my partner, whose sex drive remains intact, than for me with the "la belle indifference" created by chemical castration. I pray that when my anticipated 12-18 months on Orgovyx is ended, my sex life miraculously reappears.

@rbtsch1951 you’re lucky your wife hasn’t lost her appetite for sex , which will give you the encouragement to keep trying my wife is 67 and blames my wanting sex 3 times a week before my cancer is one of the reasons she doesn’t have any sex drive , your wife younger than mine ? Most doctors agree women after 60 could live without sex and might agree to please you but that attitude can ruin a good woody

@rbtsch1951

I am in the same boat 14 months after my last Lupron 3-month shot.
Most doctors are afraid to allow your testosterone to rise because they fear they will be blamed for a rise in your PSA if it occurs.

@graybeard46, you may also be interested in these discussions related to vacuum pumps: https://connect.mayoclinic.org/group/prostate-cancer/

@beachflyer who performed your surgery? I am researching getting implant and live in Los Angeles. Had my prostate surgery at USC.

The surgeon was Dr Dashen Patel at UCSD medical. I spoke with several surgeons including a couple from out of state. They all seem qualified but Dr Patel was the only one who suggested some penile traction prior to surgery to help him maximize things once I was on the table.
He also avoids using “rear tip extensions” if at all possible as they can be troublesome when it comes time for a revision.
He also offered to do a TEP (tunica enhancement) procedure to help maximize things.
He is known as a revision surgeon who is often called on to correct another surgeons issues.

@beachflyer Thank you for the very helpful information! I am 7 weeks post-Orgovyx and testosterone is just starting to rise, but not enough for a "real" erection. I heard a presentation by an implant surgeon this week and will keep your experience in mind. I had to chuckle when I read "penile traction," thinking of hanging from the ceiling, suspended by my penis. It didn't sound comfortable. I am currently on 5mg daily Cialis and use a VED after showers as rehab. One bit of information at the recent meeting was to be sure to take Viagra on an empty stomach, otherwise effects will be reduced. All the best!

I feel your pain , going through all that you described, and wake up every day not feeling like the man I use to be , my wife feels I put too much emphasis on sex it’s more than sex is the closeness I use to feel after 42 yrs of marriage, I’ll never accept it My wife is lucky her appetite has been dwindling at 69, so she’s at peace I’m not. Few times I’ve had a partial erection I cannot feel anything even gave to ask my wife am I in ? For this reason I cannot justify an implant which I so badly want but my urologist agrees the surgery won’t wake up my nerves . I can only pray some day I wake up with a woody , occasionally when I get up at night to urinate I take a 100 mg of Viagra but so far no luck . I’m trying to give up my 2 nightly cocktails but so far can’t do it, good luck to you