Shrinking penis after surgery and radiation

Posted by jeanadair123 @jeanadair123, Oct 13, 2020

My husband had his prostrate removed by surgery in 2003, in 2011 his PSA was high so he had 38 treatments of radiation. Slowly his penis has shrunk to the point that he said it is getting difficult to pee standing up. Is this a side effect of the surgery/radiation and is there anything that can help? Thank you.

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

Profile picture for Jake @jakedduck1

@rcs
I tried all the oral medications too with no results.
An acquaintance of mine suggested I try an injectable medication called trimix that works well for him. The thought of injecting my penis sounded painful but was pleasantly surprised when I barely felt it. The next time I used it I didn’t feel the injection at all.
The only problem is it has to be prepared at a sterile compounding pharmacy which makes them expensive and are not usually covered by insurance.

@colleenyoung
Please correct me if I'm mistaken but the stretching device you referred to last year, I thought any length gained was as a result of straightening any curvature that may exist from Peyronie’s Disease or another condition.
If any length is gained I don't believe is long lasting.
Good luck @rcs,
Jake

Jump to this post

You're correct @jakedduck1, the RestoreX device was originally developed to treat penile curvature due to Peyronie's disease. It works by applying gentle, dynamic pressure to stretch and shape the penis. The length gain is in part due to curvature correction. Research is now being conducted to see if the same approach could be used to improve penile form and functioning after prostate cancer surgery. Here's an article about a preliminary study:
- New device helps restore penile length and sexual function after prostate cancer surgery https://www.newswise.com/articles/new-device-helps-restore-penile-length-and-sexual-function-after-prostate-cancer-surgery

And the full study
Efficacy of a Novel Penile Traction Device in Improving Penile Length and Erectile Function Post Prostatectomy: Results from a Single-Center Randomized, Controlled Trial https://www.auajournals.org/doi/10.1097/JU.0000000000001792

REPLY

When you mention his psa was high in 2011, may I ask how high was it in 2011? I'm going thru a very similar experience. I had radical prostatectomy in 2013 and about 8 years later after having psa results <.1, I blew a .2 then .3 right before about 38 radiation treatments. I just receive a new ultrasensitive psa result today saying it's <0.02, which I think may mean it's undetectable and regular psa test required. Scheduled another for 6 months out. I've been on a 6 month regime of Orgovyx with one month left to go. Thank you in advance!

Kindest regards,
Nate

REPLY

@rcs
I tried all the oral medications too with no results.
An acquaintance of mine suggested I try an injectable medication called trimix that works well for him. The thought of injecting my penis sounded painful but was pleasantly surprised when I barely felt it. The next time I used it I didn’t feel the injection at all.
The only problem is it has to be prepared at a sterile compounding pharmacy which makes them expensive and are not usually covered by insurance.

@colleenyoung
Please correct me if I'm mistaken but the stretching device you referred to last year, I thought any length gained was as a result of straightening any curvature that may exist from Peyronie’s Disease or another condition.
If any length is gained I don't believe is long lasting.
Good luck @rcs,
Jake

REPLY

I haven’t been able to have erection since 20 treatments a year ago. I have tried highest dose of cialis but nothing. Any thoughts??

REPLY

I had shrinkage after surgery, more after radiation, and the biggest occurred after Lupron injections. I was circumsized
as a baby. My penis has shrunk back int skin and looks like I was not. This causes problems when I get a strong urge to urinate and I have trouble getting a hold of anything. Thus, pee goes everywhere.

REPLY
Profile picture for Colleen Young, Connect Director @colleenyoung

Hey Jake, you're right that after prostate removal penile shortening often reverses on its own within 6 to 12 months.

@songwriterdanny, kudos on using exercising during your recovery and for your health. Experts aren’t sure why the penis shortens after prostatectomy. One possible cause is abnormal muscle contractions in a man’s groin that pull the penis farther into their body. Perhaps exercising has helped release groin muscle contraction. I couldn't say. But what I do know is that exercise is good for you. What type of activity to like the best?

Jump to this post

pulls and hold for 10 sec

REPLY
Profile picture for Jake @jakedduck1

@songwriterdanny
Prostate surgery can cause the side effect of penis shrinkage. Your exercises weren’t the reason your penis increased in size. It should return to the size it was on its own.
The penis has a couple cylinder-shaped chambers that fill with blood which causes an erection. No muscles in it.
Take care,
Jake

Jump to this post

Hey Jake, you're right that after prostate removal penile shortening often reverses on its own within 6 to 12 months.

@songwriterdanny, kudos on using exercising during your recovery and for your health. Experts aren’t sure why the penis shortens after prostatectomy. One possible cause is abnormal muscle contractions in a man’s groin that pull the penis farther into their body. Perhaps exercising has helped release groin muscle contraction. I couldn't say. But what I do know is that exercise is good for you. What type of activity to like the best?

REPLY

@songwriterdanny
Prostate surgery can cause the side effect of penis shrinkage. Your exercises weren’t the reason your penis increased in size. It should return to the size it was on its own.
The penis has a couple cylinder-shaped chambers that fill with blood which causes an erection. No muscles in it.
Take care,
Jake

REPLY
Profile picture for Colleen Young, Connect Director @colleenyoung

Hi @windseaker, welcome to Mayo Clinic Connect. The Penile Traction Therapy Device was developed with Mayo Clinic. However, Dr. Trost is no longer at Mayo Clinic.
There is no need to apply for a clinical trial as the device is FDA approved and available for purchase. You can learn more about it here: https://www.restorex.com/

Jump to this post

exercising has helped me

REPLY
In reply to @jeanadair123 "Only penis size." + (show)
Profile picture for jeanadair123 @jeanadair123

Only penis size.

Jump to this post

exercising my penis has grown back and more

REPLY
Please sign in or register to post a reply.