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.

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@scullrower

Thanks for your candidly honest comments. I am in a similar circumstance to yours but I’m probably 20 years older. I don’t have much to add to what’s already been said; however, regarding your relationship with your wife, I would get a good couples and/or sex counselor. If your wife won’t go, then you go. There are many reasons a woman gives up on sex. Some, perhaps most, can be overcome, if she’s willing. You seem willing to communicate openly about this. I truly hope your wife is. If she’s not and sex is really that important to you, then you may have another decision to make. You’re young yet. I wish you and your wife well.

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Thanx, sage advice.

I expect her indifference to intimacy is multi faceted….physical and mental. The physical may be the easier to address, the mental is the issue.

I have weighed my choices, not willing to throw away 32 years of marriage, she has been with me through the highs and lows, raised two great daughters and much more.

I have broached the subject around penile rehab therapy and intimacy after each of my three separate treatment regimens but the response in the consult room before seeing my urologist about Cialis almost brought me to the point of asking her to leave the consult.

You're right, we need professional help, just not sure how to get us both there!

Thanx

Kevin

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@kujhawk1978

Thanx, sage advice.

I expect her indifference to intimacy is multi faceted….physical and mental. The physical may be the easier to address, the mental is the issue.

I have weighed my choices, not willing to throw away 32 years of marriage, she has been with me through the highs and lows, raised two great daughters and much more.

I have broached the subject around penile rehab therapy and intimacy after each of my three separate treatment regimens but the response in the consult room before seeing my urologist about Cialis almost brought me to the point of asking her to leave the consult.

You're right, we need professional help, just not sure how to get us both there!

Thanx

Kevin

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I admire your commitment to your marriage and family. May there be more like you. Treatment for prostate cancer can be brutal to the body. No question. Thankfully, development of new treatments make it possible for us to live longer and longer. Best wishes.

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@kujhawk1978

Interestingly, I "discovered" that masturbation and orgasm is not tied to erection.

It took a good 12 months after my surgery before I began to have any hint of erection but under the use it or lose it part of penile recovery therapy I "masturbated" 2-3 times a week. Though flaccid, I did orgasm. That's when I learned an erection was not necessary for an orgasm. Even when I was on 18 months of Lupron and my genitalia shrunk to it's pretty-pubescent phase I could masturbate and achieve orgasm though certainly no erection. I

I am one of the fortunate ones, by 18 months after nerve sparing surgery I was able to achieve an erection albeit not what it was before.

I was one of the 20% or so who do not lose their libido while on Lupron,

Today, over eight years from my surgery I can achieve a pretty good erection with Cialis and stimulation. There is no intercourse with my wife though, she quit awhile back

It may be early given your surgery to begin having erections orgasms but both are possible though you may find only one, orgasm.

Do much depends on your pre-surgery function, whether your surgery was nerve sparing, the skill of your surgeon and your rehabilitation therapy.

I am probably outside the norm in terms of my recovery of function, sadly, I am probably well within the normal when it comes to my wife of 32 years and no sex, and I mean none!

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I had the radical prostatectomy 4 years ago.
Fortunately some nerve endings were saved.
The surgeon suggested masturbation to maintain some level of sexual normality.
With the use of sexual images on the web I managed to get a weak erection which was enough to reach orgasm.
What i noticed was that it was best when the bladder was not empty.
The orgasm contractions caused a strong ejaculation but with urine.
This was an improvement over ejaculation without urine.
For those who can still have relations with a partner a condom is recommended….

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He might try using a penis pump for 15 minutes each day to get back enough length to aid in being able to urinate standing up. I bought a cheap pump off ebay and do this 15 minute stretch prior to bed each night. Good results.

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@ken1946

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.

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I have the same problem. I am hoping in 6 months to get a penile implant to rectify the problem and some others.

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@rcaldwellusa

I have the same problem. I am hoping in 6 months to get a penile implant to rectify the problem and some others.

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Let me know how the implant works. Did you try P-shot?

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@isrexpo

I had the radical prostatectomy 4 years ago.
Fortunately some nerve endings were saved.
The surgeon suggested masturbation to maintain some level of sexual normality.
With the use of sexual images on the web I managed to get a weak erection which was enough to reach orgasm.
What i noticed was that it was best when the bladder was not empty.
The orgasm contractions caused a strong ejaculation but with urine.
This was an improvement over ejaculation without urine.
For those who can still have relations with a partner a condom is recommended….

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About a week ago I woke up and went on the old PC.
Looked at my screen, found my favorite pornography, and, still half asleep, I began listening to Clarence Carter for inspiration: https://www.youtube.com/watch?v=TfnDq4R6hOQ
and after about 20 minutes, something happened. I think it was like what you described: a very weird ejaculation that seemed to be made of both semen and piss. Honestly, I don't know if it qualifies as an orgasm, and I have been unable to replicate it – so far. But I intend to keep trying!

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@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?

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How can those abnormal groin muscle contractions be resolved?

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