Injections to maintain muscle usage after Prostate Removal

This 2023 presentation out of Stanford University might provide you some ideas to discuss with your medical team —> “Penile Rehab: Optimizing Recovery of Erectile Function after Prostate Cancer Treatment” —> https://youtu.be/aRp1NXjPGLE?si=VyF2ALSgU1J5r4OI

(They talk about a variety of ED remedies.).

Get a penis pump to allow you to get erections before atrophy. It will allow you get fully erect it just won’t be as stiff as you need for sex.

Were they able to spare the nerves when they did the prostatectomy? If not you may need an implant or the bimix or Trimix shots.

Yes, my husband is having surgery next week and he was told to buy a pump so that he is ready for rehabilitation. Using a pump is important not only for obtaining erection but also to make sure that urethra stays normal length (to prevent it getting shorter) which is important for continence. The instructions were to use a pump 3 times a day to "exercise" the tissue. He was also prescribed Cialis 5 mg before the surgery and after surgery nurse wants him to start using higher dose to encourage blood circulation and nerve regeneration. So perhaps you might try a pump to prevent atrophy and than see how it goes from there.

The Stanford video @brianjarvis listed above is excellent. Here's another excellent video from Sloan Memorial Hospital:

I was 70 years old when I had NS RARP 13+ months ago. I initially started on 5 mg nightly tadalafil but that wasn't enough for me for sexual function (but it did help with nocturnal erections). So my urologist told me to also take 100 mg sildenafil on the days I actually try to have sex. That worked better for me that tadalafil alone. I should note that I tolerate both drugs well and don't have any side effects. Also, I'm very careful to take sildenafil on an empty stomach and give it 90 minutes to work before trying to have sex. Even with that, my ED recovery has been slow. Only in the last 2 weeks (13 months after surgery) have I returned to an experience similar to before surgery (at least in the same ballpark). I probably started trying to have sex about 1 to 2 months after surgery and things went poorly. But it did start getting a bit better every month. Early on I also used a vacuum device for penile therapy (although it wasn't useful to me for having sex). I never got around to shots, but that was next on my list if recovery had stalled. I'm not a medical professional and I have no idea what's best for you. Rather I'm just telling you my story. I have read (repeatedly) that the shots do often work and many guys say they work well. I read one guys account of using the shots until he no longer needed them as part of his recovery. But I took a different route. One other thing I should mention. In the Sloan Memorial video I posted above the doctor mentions the psychological aspect. Long story short, at the risk of being wrong I think he said something to the effect that anxiety will spike your adrenalin, and adrenalin is the anti-sex hormone. I was very fortunate to have a verrry understanding and patient partner who supported me during those frustrating early months. If she had been critical or inpatient in any way, my anxiety would have been even higher and that would have been problematic for my recovery. In that kind of tense environment I'd probably have needed the shots to get past my anxiety. Again, I'm not a medical professional and I have no idea what's best for you. This is just my experience. Best wishes.

I will try the penis pump, hope it works! The nerves were spared on one side, no the other. That said, I have managed a "chubby" since the surgery, and I can feel the pistons firing, but the engine does not rev... if that makes sense

A "chubby" LOL!

Fisk - most guys get the low dose Cialis to start . With Dr approval look at getting a Osborne pump . They are medical grade and not just for occasional use . A little expensive but worth it in the long run . You dont want to use the pump if your sore or still healing- so just Make sure its fine with the GP or Urologist . Its creates a huge vacuum that rehabs the Penis well. Bast of luck and let us know how it worked .... James