Penile Implant after prostate cancer surgery: Advice appreciated

Posted by jw1 @jw1, Aug 29, 2023

I am fixing to get a penile implant any advise, would be appreciated. Pain level, rehab time. If you had one done, would you, do it again? I am getting the Coloplast Titan 3/piece inflatable. Cancer survivor from prostrate removal approx. 1 1/2 years. I have tried the pills and injections & nothing works.

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

Colleen Young, Connect Director | @colleenyoung | Aug 29, 2023

Hi @jw1, I moved your question to the Prostate Cancer and Men's Health support groups. You might also be interested in these related discussions:
- Rigicon Mallable Penile Implant? https://connect.mayoclinic.org/discussion/rigicon-mallable-penile-implant/
- I've lost all motivation, no sex drive, depressed. Ideas? https://connect.mayoclinic.org/discussion/new-to-group-2

Fellow members @mazeppabob @rcaldwellusa @robmohio @pda @klaken @kujhawk1978 may have experiences or considerations about penile implant to share with you.

dougo61 | @dougo61 | Mar 9 11:35am

any experience with this would be helpful

mrkimble | @mrkimble | Apr 29 2:26pm

Thinking about penile implant 2 years after prostate surgery.Any advise?

northoftheborder | @northoftheborder | Apr 29 3:13pm

In reply to @mrkimble "Thinking about penile implant 2 years after prostate surgery.Any advise?" + (show)

Have you already tried a penis pump (I haven't yet)?

https://www.mayoclinic.org/tests-procedures/penis-pump/about/pac-20385225

If that works for you, it would be less invasive than surgery. Otherwise, best of luck!

farmanerd | @farmanerd | Apr 29 3:14pm

In reply to @mrkimble "Thinking about penile implant 2 years after prostate surgery.Any advise?" + (show)

RARP and RT gave me complete ED. After about a year of very effective trimix injections, I ended up getting Peyronie's Disease. After a following year of outercourse, I decided, and my wife agreed, that it was time for an implant. Had a Boston Scientific AMS 700 implanted late last year and it's quite enjoyable.

Recovery wasn't too bad (I'm 63 years old and fairly active). The surgeon did warn me that it was a one way surgery, since your corpus cavernosa are replaced by the inflatable chambers, there will be no chance for 'natural' erections ever again. Even with a precautions, he also stated that there was still a slight chance of infection, which would require treatment and possibly further procedures. My recovery was uneventful.

The implant does not affect my running; however, I did experience a bit of discomfort when riding a regular bike around the block, but no discomfort on my recumbent road bike. In a deflated state, an implant is bulkier(?) than a flacid penis, so pants that fit tight around the crotch may be slightly uncomfortable. Stretchy garments like compression shorts, running tights or cycling shorts fit and feel OK.

6-8 weeks for recovery. I wore sweatpants through most of it.

Colleen Young, Connect Director | @colleenyoung | Apr 29 9:55pm

In reply to @mrkimble "Thinking about penile implant 2 years after prostate surgery.Any advise?" + (show)

@mrkimble, I moved your post to this existing discussion to help you connect with others and see helpful tips shared
- Penile Implant after prostate cancer surgery: Advice appreciated
https://connect.mayoclinic.org/discussion/penile-implant-1/

In addition to the responses you've already received from members, you may also be interested in these related discussions:
- Rigicon Mallable Penile Implant?
https://connect.mayoclinic.org/discussion/rigicon-mallable-penile-implant/
- Erectile dysfunction (ED) treatments: What works for you?
https://connect.mayoclinic.org/discussion/ed-treatments/
- Dealing with ED.
https://connect.mayoclinic.org/discussion/dealing-with-ed/

mrkimble | @mrkimble | Apr 30 7:54am

In reply to @northoftheborder "Have you already tried a penis pump (I haven't yet)? https://www.mayoclinic.org/tests-procedures/penis-pump/about/pac-20385225 If that works for you,..." + (show)

Yes. It works for erection. But is a royal pain to use.

mrkimble | @mrkimble | Apr 30 1:49pm

In reply to @colleenyoung "@mrkimble, I moved your post to this existing discussion to help you connect with others and..." + (show)

Thank you

mrkimble | @mrkimble | Apr 30 6:08pm

In reply to @farmanerd "RARP and RT gave me complete ED. After about a year of very effective trimix injections,..." + (show)

I own and live on a farm. 67 years old. What about lifting heavy loads/weights?

farmanerd | @farmanerd | Apr 30 9:18pm

My surgeon's post-op instructions:

Completely rest for the first two days (move around as little as possible) and lift no more than a coffee mug.

Next two weeks, lift no more than 10 lbs. Inflate and deflate instructions given at two weeks.

Next four weeks, lift only when necessary and avoid heavy lifting if possible to create the best opportunity for good healing. Pump it up and then deflate a few times per day for a total of 20 minutes erect time per day.

Six weeks after surgery, cleared to use. Return to normal activities.

I've moved bags of cement and bundles of shingles when organizing our garage, but I'm certain that it wasn't the same intensity that farm work entails. After it heals, farm work and lifting should be fine.