My experience was obvious penis shortening after arriving home immediately after my LRP at age 53. As if it was pulled into my body. Never regained size regardless of the treatments available. The two urologists that were involved with my decision to proceed with the LRP did not communicate this possibility. It’s my opinion that had I known I would have considered other options.
I have APC never had surgery but had chemo infusions. Have been on ADT meds for several years (no breaks). Penis and testicles have shrunken significantly. Basically it was chemical castration
I beg to differ on the miniscule aspect of a prostate removal's affect. If a prostate is approximately the size of a walnut, and your urethra goes through the prostate, then you lose that much urethra after a prostatectomy. The reconnection doesn't add any artificial urethra where the prostate used to be. That walnut sized difference doesn't get made up for. My surgeon said the hope is that the bladder will drop towards the penis and not that the penis will draw up towards the bladder after the reconnection, but there are no guarantees. While I am sure you are correct about the atrophy and the nerve damage, I think we have to attribute more than a miniscule amount of penis shortening to the loss of the prostate.
I’ve had the same thing happen. I’ve lost at least two inches in length having an erection. I’ve also experienced lack of fullness of girth as well as a curvature of my penis. It’s difficult to have sex.
Retired MD here (not a urologist). Yes, my understanding is about 1.5 inches of the urethra comes out, as it travels thru the prostate. That's why men with enlarged prostate have difficulty peeing. When the urethra is sewn back together, the penis will be pulled inside a bit, as the urethra is firmly attached to the penis.
I found Australian sexologist Melissa Hadley Barrett to be very helpful in showing ways to get the penis on the road to working again when the nerves return some function. Headline: viagra drugs, vacuum pump and masturbation help during first year post-op. https://melissahadleybarrett.com/penile-rehabilitation-program/
I can feel like my penis wants to extend longer but have the feeling that the urethra has been pulled up too tight restricting me from getting my original length back. I can actually feel the tightness pulling when I attempt an erection.
I have lost fullness and do have a degree of curvature now after surgery. Prior to surgery my penis was very straight. Now I have an upward curvature that makes it difficult to have sex.
I have used viagra and cialis as well as a vacuum pump for over a year to regain my size. I am now 19 months post surgery. Nothing seems to work.
In addition, my flaccid appearance looks like I’ve never been circumcised due to my size reduction. Any help is appreciated.
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I have APC never had surgery but had chemo infusions. Have been on ADT meds for several years (no breaks). Penis and testicles have shrunken significantly. Basically it was chemical castration
I’ve had the same thing happen. I’ve lost at least two inches in length having an erection. I’ve also experienced lack of fullness of girth as well as a curvature of my penis. It’s difficult to have sex.
I can feel like my penis wants to extend longer but have the feeling that the urethra has been pulled up too tight restricting me from getting my original length back. I can actually feel the tightness pulling when I attempt an erection.
I have lost fullness and do have a degree of curvature now after surgery. Prior to surgery my penis was very straight. Now I have an upward curvature that makes it difficult to have sex.
I have used viagra and cialis as well as a vacuum pump for over a year to regain my size. I am now 19 months post surgery. Nothing seems to work.
In addition, my flaccid appearance looks like I’ve never been circumcised due to my size reduction. Any help is appreciated.