Lets talk about timing on the Viagra type drugs.

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Regular Member

Date Joined Jun 2004
Total Posts : 231
   Posted 12/23/2007 10:53 PM (GMT -6)   
We got the catheter out at 7 days and spoke to the dr about getting some ed drugs and he acted like it was too soon.  He said he would give us some if we wanted some, but wait just to get healed up a bit more.  How soon have your docs advised to start the awakening of the sleeping giant?
Les and DB
Les and DB from KC(Les is a member of UC and Ostomy forum also)
DB diagnosed 11-01-07
psa high for several years from 4 to 10, but last one before surgery was 8.6
Gleason 3+3
Da Vinci on 12-14-07

Regular Member

Date Joined Oct 2006
Total Posts : 411
   Posted 12/23/2007 11:33 PM (GMT -6)   
We started Cialis shortly after catheter was out. But didn't really lead to an erection. May have helped in healing the nerves.

I am not sure there is much danger in starting soon after catheter out? If for blood flow, even if no actual erection.

For us, even starting with Cialis right after catheter out, and then pump at about three months, then injections about five months, it was still six or seven months for us before really started to feel it was really getting back to normal as far as erections go. But I would say there was rapid improvement at about seven months. In the last month or so, has been a complete turn around.

But I do think it is important to stimulate it often. Whether through drugs that keep the blood up, or pump, or just plain fooling around even if not intercourse.

I guess I would ask your doctor why his hesitant about the viagra type drugs? There might be some medical reason.
Tanya and Ken
Age: 63
Diagnosed: 10/30/06
PSA: 3.7 (2005: 3.4, 2004: 4.0)
Biopsy: 1/10 cancerous, 5% of one core, right apex.
Gleason: 3+3=6
Da Vinci: April 10, 2007, Denver CO
Path results: 1% of prostate involved. Very small tumors on both right and left apex. Negative margins, negative seminal vessicles, lymph nodes left intact. Gleason upgraded 3+4=7.
1st PSA Results: May 11, 2007 <.01

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 12/24/2007 10:36 AM (GMT -6)   
I began Viagra 25 mg nightly the night the catheter was out.  The thing about it is you take it for blood flow and rehab this early, not for sexual function.  Viagra will not produce erections without stimulation, but will help with repair rehab during this critical period of healing from catheter removal to about 6 to 9 months post-op.  So if you do take it early, that doesn't mean you will or can get erections, but it will aid your recovery of function.  That's the way it was explained by my Urologist.  I am able to get my GP and the Urologist to get me free Viagra samples, plus have ordered from alldaychemist.com to keep the cost down of these expensive pills. 

James C. 
Help support the forums so they can support you:  http://www.healingwell.com/donate 
Age 60 
4/19/07   PSA 7.6, referred to Urologist, recheck 6.7 06/05/07
7/11/07   Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07   Path report:  3 of 16 PCa, 5% involved, left lobe , GS 3/3:6. 
9/24/07   Retropubic Radical Prostatectomy performed 
9/26/07   Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07  ED- 25mg Viagra nightly-no joy 
10/19/07  Dry 24 hrs, pad at night just in case
11/15/07  ED-continue 25mg Viagra, no response, begin Vacorect pump-
11/15/07  1st PSA-0.01, fully continent- no pads
12/17/07  ED- 3 mts.-continue Viagra and pump-no change-no response

Regular Member

Date Joined Oct 2007
Total Posts : 29
   Posted 12/24/2007 1:31 PM (GMT -6)   

Seconding what James said.  My urologists prescribed 20mg Levitra, split the pill in half and take it every other day for rehab purposes (improving blood flow) immediately upon catheter removal.  Also advised I could take the whole pill if I wanted to try to have an erection.  Fortunately for me I've got erections without the aid of the Levitra.  However, I'm still going to take the Levitra as part of my rehab.  Also based on recommendations in this forum I've also ordered a supply from alldaychemist.   Insurance wouldn't cover ED drugs and at $15 a pill it would get sort of expensive.

Hope this helps.


Diagnosed 9/07
Gleason 6  3+3
First PSA 4.1
2nd PSA 3.6
stage T1C
age 46
daVinci performed 11/28/07
@ Univ of Ala Bham (UAB)
Catheter removed 12/12
Final pathology Gleason 6
Surgical margins free of tumor

Veteran Member

Date Joined Nov 2006
Total Posts : 883
   Posted 12/24/2007 1:46 PM (GMT -6)   
I was given 25 mg viagra to take for rehab 28 days post op when my cath came out. I can not remember now when the Dr. said to use the 100mg and try for a full erection. I think it was a few weeks later? Just listen to you Dr and give your body time to heal.

    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
        Biopsy Sept. 27, 2006 - Diagnosis Sept. 29 - 3 of 12 positive (up to 75%) all on left side of prostate, Gleason 7
        RRP on Oct. 17, - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 28 days due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
    Dr. said everything looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking.  Worked for a couple of days then back to leaking.
    April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking.  Leaking started back next day at work!
    May 14th Second Opinion about my leaking and Options at OU Medical Center.  After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking.  But did agree to try Bio-Feedback and work hard on the Kegeal's first!
    May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
    June 1st Start Bio-Feedback to try to control my leaking.
    Oct 17, 2007 1 year Post Op - Still fighting moderate / Severe incontenance. Using 4-6 pads a day.  Erections usable....sometimes!  Almost like before with 100mg Viagra!
    December 5th, 4th post op PSA 0.01!?!?!?   Is that still a 0?  Still leaking!!!!

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