Injections to maintain muscle usage after Prostate Removal

Posted by fiskadoro @fiskadoro, Aug 10, 2025

Hi,
I had my prostate removed about 2 months ago, and I am not sure how to gauge my recovery. I am 56 and prior to surgery I had a healthy sex life with no ED. I have read timelines of 7 to 18 months before being "back to normal", but I am wondering if I should be doing anything besides manual stimulation and taking the 5 mg of cialis that was prescribed to me. I don't fancy inserting a needle into myself, but a much worse fate would be allowing atrophy to set in, and so far I've only managed a chubby from time to time. How strongly do you recommend administering the injection or just waiting it out?
I had the nerves spared on one side, but not on the other.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

Profile picture for VancouverIslandHiker @vancouverislandhiker

Fisk , if you can get a Chubby at this point thats a good sign . With rehab your on your way for sure . Dont get frustrated and have your partner work with you . Team effort too !

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Thanks for that supportive message. Last week I had my first meeting/check since the surgery. I spoke with a helpful doctor from the care team about "medical grade" penis pumps, and I ordered the SomaerectSTF. Looking forward to getting it and putting it to use!

The doctor also said a chubby was a good sign at this point, and he also said "use it or lose it", a warning I plan to heed.

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Profile picture for brianjarvis @brianjarvis

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

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

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Watched it and learned a lot, thanks for the suggestion!

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Profile picture for surftohealth88 @surftohealth88

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.

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I ordered a Somaerect penis pump, the "most popular model" according to the sales pamphlet I read. My doctor recommended that, when I am going to be active, I up my dosage from the daily 5 mg to 15 or 20, so we'll see how that works.

Good luck and blessings to your and your husband

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Profile picture for fiskadoro @fiskadoro

Thanks for that supportive message. Last week I had my first meeting/check since the surgery. I spoke with a helpful doctor from the care team about "medical grade" penis pumps, and I ordered the SomaerectSTF. Looking forward to getting it and putting it to use!

The doctor also said a chubby was a good sign at this point, and he also said "use it or lose it", a warning I plan to heed.

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Fisk - sounds like your right on track Brother . Let us now how you make out with this devise . Not too familiar with that one , how much was it ? Keep us in the loop of your success with it ! James on Vancouver Island.

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