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Shrinking penis after surgery and radiation

Prostate Cancer | Last Active: Oct 4, 2023 | Replies (52)

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@ctpaul

My urologist was not a font of information either. My PSA levels went from 4 to 11 and he decided that I would have the robot assisted surgery. I told him to calm down; I wanted to research my options. After a week I told him to go ahead and set up the robotic surgery.
I had read that my penis might shrink by a half inch, but I'm 70 years old. My penis had been shrinking slowly throughout my 60s. My roommate of 25 years is no longer interested in sex so not being able to get an erection is not a cause of strife. I'm 15 years older than her so I knew the difference in our ages would catch up with me sooner or later.
I had my prostate cancer surgery on June 16th of this year. I am still a bit incontinent and have gotten resigned to wearing Depends when I go out - which is not often.
I would like to be able to masturbate, if nothing else. So far my favorite sex videos don't produce any physical reaction at all. I am not going to get Viagra or anything similar. If I never get hard again I guess I'll get used to it, but I doubt I'll ever really be at peace with that condition.

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Replies to "My urologist was not a font of information either. My PSA levels went from 4 to..."

Interestingly, I "discovered" that masturbation and orgasm is not tied to erection.

It took a good 12 months after my surgery before I began to have any hint of erection but under the use it or lose it part of penile recovery therapy I "masturbated" 2-3 times a week. Though flaccid, I did orgasm. That's when I learned an erection was not necessary for an orgasm. Even when I was on 18 months of Lupron and my genitalia shrunk to it's pretty-pubescent phase I could masturbate and achieve orgasm though certainly no erection. I

I am one of the fortunate ones, by 18 months after nerve sparing surgery I was able to achieve an erection albeit not what it was before.

I was one of the 20% or so who do not lose their libido while on Lupron,

Today, over eight years from my surgery I can achieve a pretty good erection with Cialis and stimulation. There is no intercourse with my wife though, she quit awhile back

It may be early given your surgery to begin having erections orgasms but both are possible though you may find only one, orgasm.

Do much depends on your pre-surgery function, whether your surgery was nerve sparing, the skill of your surgeon and your rehabilitation therapy.

I am probably outside the norm in terms of my recovery of function, sadly, I am probably well within the normal when it comes to my wife of 32 years and no sex, and I mean none!