No erection after 5 years after radical prostatectomy

Posted by Amos @onestepmore, Mar 2 1:17pm

I chose not to do the Davinci radical prostatectomy surgery but instead went with a well known urologist that insisted tactile was important during a nerve sparring radical prostatectomy. It's been 5 years as of January 2, 2020 and still not able to get an erection without a shot. Has anyone else had this experience?

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

Profile picture for Amos @onestepmore

@jimgaudette Thank you for letting me know you are pleased...after almost 6 years I need to investigate it more. How did you first look into an implant?...my name is Amos...I've been using Onestep for years and I don't know why on this site...we are all in the same boat

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@onestepmore Dr Clavell is an expert on implants and has numerous clips on YouTube. All good info. Talk to your urologist.

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Profile picture for koji480 @koji480

@graybeard46 I don’t want to get overly graphic on this site but do a search online and you should find some info. For me it involves pelvic pressure.

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@koji480 "Pelvic pressure"...so...wife on top, or wife sitting on your lap in a chair or on the couch? Please expand on your comment about "pelvic pressure."

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Profile picture for tomf @tomf

Are there conversation threads here written by those of us that are permanently impotent due to our prostatectomies? I am not looking for advice on implants or Trimix injections. I can perform with Trimix but it is very challenging to get to the finish line. I am looking for threads about how you are mentally handling this ED. I think about it every day as I continue to use a VED in the evenings to keep blood flowing into my penis. I think about it every time the guys at golf crack a "boner" joke. I am not in a depression but knowing I will never have a natural erection again is sobering. It may be serendipity because, due to her own biology issues, sex was becoming more and more painful for my wife prior to my prostatectomy 3 years ago. She might be relieved because we make love far less now. She is not craving sex. So let me know what goes on inside your head, not your genitals, if you had damaged nerves that never healed like mine didn't.

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@tomf
I had an RP in 10/21 and have not had a natural erection since (use Trimix). Although my wife and I were having some marital problems prior to that but the disruption to our sex life (I also have some incontinence and climaturia) worsened out relationship leading to divorce. I have loved sex my entire life and the knowledge I will never have a spontaneous erection again was difficult to accept. I am now in a committed, loving relationship with a very understanding woman and the sex is once again great. She has told me to get out of my head. That I am lucky to be alive and that the lack of erections without Trimix doesn't matter to her at all.

So, for me, the sadness I experienced over the SE of the cancer was partially dependent on the interaction with my partner. I have pretty much come to grips with my sexual limitations. I read a short book by an Australian PT male therapist about post prostatectomy issues. It was very straightforward. I remember the part when he was saying you would no longer ejaculate after RP. He said something to the effect of "have a good cry or bit of anger and now get over it; it's your new reality". I have tried not to dwell on what I have lost but what I still have.Good luck to you.

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trimix helps and a partner

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