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landcrab
Regular Member


Date Joined Feb 2008
Total Posts : 23
   Posted 2/27/2008 7:14 AM (GMT -7)   
Can anyone enlighten me regarding nerve sparing, I have just come from a consultation with my surgeon that carried out the rrp and he says he managed to save the nerves on the right side which control continence and erections, is this the case or have I misunderstood. I always thought that the nerves that control erection were on the opposite side to the nerves that control continence.

Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 2/27/2008 8:24 AM (GMT -7)   
landcrab,

I have not heard before your post any mention of nerves that control continence. My understanding is the nerves on both sides of the prostate are for erections. I have always assumed that the control of continence is a muscular control not associated with the bilateral nerves of the prostate.

Tamu
Diagnosed 7/6/06, 1 of 10 core samples, 40%,Stage T1c, Gleason 3+3
Da Vinci on 11/01/06, Catheter out on 11/13/06
56 Years Old
Post Op Path, Gleason 3+3, Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06, 6/25/07, 1/8/08
No more pads as of 1/13/07
Began injections in April '07
 


landcrab
Regular Member


Date Joined Feb 2008
Total Posts : 23
   Posted 2/27/2008 9:14 AM (GMT -7)   
I obviously got something very wrong, but if as in my case the nerves were spared on one side only does that mean I cannot have erections ?.

Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 2/27/2008 10:50 AM (GMT -7)   
Hi landcrab,
There are many here who are able to function well with one side removed. Many do so with medicinal assistance. Incontinance can be an issue when nerves are removed but that is very rare. The usual cause of incontinance is the stretching on tissue after the prostate is removed and the urethra is reattached. There are other physiological changes that can cause incontinance but when all is said and done it won't likely be the nerves. I wish you good luck though. My nerves were spared even though the cancer had left the prostate.  So keep doing the exercises and walk a lot.  I have had almost no issues with incontinance and I attribute that to a committed walking schedule since surgery.

Tony


Age 45 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007
Post-Op Pathology: Gleason 4+3=7, positive margins, Stage pT3b (Stage III)
HT began in May, '07 with Lupron and Casodex 50mg
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (1/08): <0.1
I will continue HT until May '09. 
Visit my Journey at:
 
STAY POSITIVE!
 
Prostate Cancer Forum Moderator

Post Edited (TC-LasVegas) : 2/27/2008 10:53:24 AM (GMT-7)

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