Can you start taking viagra/cialis after radical prostatectomy while the catheter is still in?

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janem123
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Date Joined Feb 2012
Total Posts : 50
   Posted 2/25/2012 7:08 AM (GMT -6)   
Can you start taking viagra/cialis after radical prostatectomy while the catheter is still in?

My husband is still catheterised 5 weeks after the op and I am worried that not taking cialis from first week (when most catheters come out) will affect the healing process and erectile function.

Does anyone know?

Thanks.

Jane

Steve n Dallas
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Date Joined Mar 2008
Total Posts : 3986
   Posted 2/25/2012 7:26 AM (GMT -6)   
The healing process can take many months to a couple of years. A couple of weeks is going to effect much.

Getting good results from the meds WITH the cath in wouldn't be fun.

janem123
Regular Member


Date Joined Feb 2012
Total Posts : 50
   Posted 2/25/2012 7:29 AM (GMT -6)   
Thanks so much Steve. That is what I thought, but it is so nice to hear someone confirming things.

I assumed he would not be getting any kind of good results for a long time - but maybe that was just pessimistic! We will find out in a few weeks time ...

This forum is marvellous - I have been going out of mind with worry and no-one to talk to.

Desertrat1
Regular Member


Date Joined Jan 2012
Total Posts : 336
   Posted 2/25/2012 9:19 AM (GMT -6)   
My uro didn't want me going on PDE5 inhibitors until six weeks passed. As I recall according to Dr Mulhall's book, Saving Your Sex Life, starting PDE5 inhibitors within 3 months is fine; and you need to start having erections within six months with injections if pills don't work. Mulhall starts his patients on pills the day after the cath is out. You can probably get Mulhall's book from a local library. It is a worthwhile read. He also has several videos available on utube.
I'M STILL STANDING www.youtube.com/watch?v=dq2uAUjkLIw
Age 59
9/8/2011 PSA 4.7 Free PSA 11%
12 Needle Biopsy 9/15/2011 Gleason 3x3, 4 cores involved out of 12 cores within left hemisphere
Davinici performed on Jan 3rd 2012
Gleason 3x4 Approximately 7% of gland volume (all on left side)
Margins: Negative Extraprostatic Extension: Not Observed Pathologic Staging pT2a

mtsarpilot
Regular Member


Date Joined Jan 2012
Total Posts : 137
   Posted 2/25/2012 9:21 AM (GMT -6)   
My Surgeon uses Dr. Mulhall's prototol slightly modified. Pick up a copy of "Saving your sex life: A guide for men with Prostate Cancer" by Dr. John P. Mulhall. There also videos on youtube of his presentations that summarize his protocol and findings.

The primary reason for PDE5 inhibitors at this early time after RP is to get bloodflow to the erection tissues. Not to generate an erection. I was instructed to start the protocol (I am using 5mg Cialis nightly) 3 days after catheter removal. I personally would not recommend starting them while still catheterized because if by chance he gets nerve response, it won't be fun with a catheter in and could cause tissue damage as the penis extends across that catheter (OUCH). It's not designed for easy sliding like that. My doctor wanted 3 days after removal to allow the urethra and penis to heal some from the abrasion caused by the catheter. Given the length of time your hubby has had the catheter there may be more healing needed, or maybe less because the body has gotten used to it and pretty much dealt with it. That is a question for the doctor. Thus when to start PDE5 inhibitors should be advised by the doctor.

3 weeks after surgery I started getting nocturnal nerve response on the Cialis. I can see it can have a positive effect, so in my short time at this I can say well worth it once the doctor clears him for it.
Age 49, healthy, physically very active
PSA 6.9
DRE felt nodule on right side
Free PSA 13%
Biopsy 10/24/11
Hopsitalized 36 hours later with Prostate, Urinary and Blood infection, E.coli based
Surgery 1/26/12
T2c, Gleason 3+4

janem123
Regular Member


Date Joined Feb 2012
Total Posts : 50
   Posted 2/25/2012 5:54 PM (GMT -6)   
Thanks so much. I will buy the book and read up.

I am not (yet!) worried at all about erections, just the fact that we need him to get better and I understand that Cialis and Viagra have a beneficial and healing effect in addition to assisting erections. As long as he is not going to recover less well through not taking them early, I will be happy.

Your replies about an erection not being a good idea with the catheter in place are as I thought. Makes my eyes water and I'm a woman!

I just wish my husband would talk to me about these things like everyone else does!!!

Tigerfan53
Veteran Member


Date Joined Jan 2011
Total Posts : 792
   Posted 2/25/2012 6:58 PM (GMT -6)   
Jane – Yes you can take low dose Viagra (25mg) with the catheter still in; obviously not in an attempt to get an erection, but to promote fresh blood flow. I’m seeing Dr. Mulhall for my ED rehab. His rehab program had me on a nightly low dose of Viagra 2 weeks before surgery. Then after discharge from surgery I resumed the nightly 25mg with the catheter still in. After the catheter was removed, I took 25mg 6 nights per week and 100mg once per week. The 100mg dose was taken in an effort to get an erection. My catheter came out 1 week after surgery, so I don’t know what the protocol is for prolonged time with the catheter. I would suggest you discuss this with your doctor. If you have further questions, feel free to email me.

Best of luck with the recovery.
Diagnosed Dec 2010 at age 53
PSA 5.3
Biopsy: 50% in 1 of 12 cores, Gleason 6
PSA 5.6
RRP on 6/6/2011
9/8/2011 PSA undetectable
12/8/2011 PSA undetectable

Alicepalace
Regular Member


Date Joined Feb 2012
Total Posts : 20
   Posted 2/25/2012 7:28 PM (GMT -6)   
Jane - my husband starts on Cialis next Tuesday, so a week after his catheter removal (which you already know was in for 6 weeks). The informational clips on www.mskcc.org website are worth watching if you haven't already done so.
Husband Dx PCa Oct 2011 (age 56) - 10/2003 PSA 4.6 rising to 11 Oct 08 neg Bx 3 times (only 6 cores sampled) - atypical cells. PSA 23 in Oct 11 4th Biopsy (24 cores taken) +ve for PCa - 3 cores on left 20% Gleason 3+4. Bone scan neg, MRI neg lymph nodes.
10th Jan RALP. Large 80g with 3 tumours G 3+4 left lobe, right posterior and apex. PNI +ve, Vasc inv -ve. Neg surgical margins. PT2c Nx

janem123
Regular Member


Date Joined Feb 2012
Total Posts : 50
   Posted 2/25/2012 9:01 PM (GMT -6)   
Thanks Alice. I have been watching the videos and they are very informative.

Thanks too to all other posts. This is a great help,

NotHard
Veteran Member


Date Joined Mar 2009
Total Posts : 737
   Posted 2/27/2012 12:25 AM (GMT -6)   
There's not point putting lead in the pencil if, you can't use it to write!!! lol.

Kev.
Kev 53yrs [Gold Coast Qld, Australia]
PSA 4 Gleason 7 [4+3]
RP 24/12/08 Dr Philip Stricker [Sydney]
Stage 2 Tumor 7% Margin status- Focal Involvement
Fully Cont. ED- 90%
PSA @ 3yrs <0.01
"Every-day in Every-way I Get Better"
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