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wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/11/2008 1:50 PM (GMT -7)   
For the life of me I can not figure out what happens to the sex drive when they remove the prostste
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.


montee
Regular Member


Date Joined Mar 2007
Total Posts : 315
   Posted 3/11/2008 2:05 PM (GMT -7)   
I thought it was just me!

diagnosed sept 06
gleason 3+4=7, right lobe only
psa 4.7  (psa rose 1 point per year for 3 years, urologist said still under 4 and no concern.  If I can find out about PSA velocity, why didn't he know!)
Told not to have surgery at Dana Farber as cancer had already penetrated prostate, in seminal vesicles, would have positive margins. Would only treat with radiation and HT
RP Emory Atlanta December 2006
Path-negative margins, negative lymph nodes
negative seminal vesicles, multifocal perineural invasion, both lobes involved
40% gland involved
gleason 3+4=7
Fully continent 2 weeks post catheter removal
1st psa April 2007-<0.04
 6 Mos PSA <0.04
9 mos PSA still <0.04
12 mos PSA still <0.04


Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 3/11/2008 4:33 PM (GMT -7)   
Yep, me too although testosterone replacement theropy has helped. Have you guys had your testosterone levels checked? Although there may be many reasons my "T" dropped through the floor, I still beleive part of it was do to my surgery. I've read that one cause could be trama to the testicles and mine were black & blue and the size of baseballs post surgery! After fighting Urologists for a while, I found one willing to write a perscription as long as I knew the risks. Swim, Biker Jim and I wrote many, many posts on the subject a little over a year ago. I've been using it for aprox. 16 months and still am getting zerro's on my PSA tests. I suggest you have yours checked. At least you can rule it out if yours is normal. Good luck.
Your friend,
Pete
55 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg. Testosterone Theropy (Testim Gel)since 12/06. Fighting to stay upbeat daily, I am's what I am's and that's all that I am's! (Popeye)  55 and still alive!!!


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/12/2008 4:28 AM (GMT -7)   
What I want to know is why does it drop. If you get a vasectomy, does your level of sex drive fall? This gland is just the juice gland. How does that effect sex drive?
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/12/2008 5:15 AM (GMT -7)   
Here is the answer. The prostate makes stuff that is 5 times more potent than testosterone. We ani't got it, we don't get it.

Most testosterone (97%) circulates in the bloodstream bound to one of two proteins, either sex hormone binding globulin (SHBG) or albumin. A small percentage of testosterone (2–3%) remains unbound and it is the unbound form of testosterone that is thought to affect the glandular cells of the prostate gland.

Free testosterone passes through the prostate cell membrane where it is metabolised to DHT by the enzyme 5 alpha-reductase. DHT is 2.5 times more potent as a male sex hormone than testosterone. DHT binds to androgen receptors (AR) within the glandular cells. The complex of AR with DHT then targets, within the cell nucleus, specific DNA sequences known as androgen response elements, that activate cell functions, including growth and proliferation (Figure 1.9).

I found it here.
http://www.cancerline.com/cancerlinehcp/9898_12053_6_1_3.aspx
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.


kdnole
Regular Member


Date Joined Jun 2007
Total Posts : 152
   Posted 3/12/2008 6:24 AM (GMT -7)   
Weird, I was just talking to my wife about this last night. She lost her drive after menopause plus her her having scleroderma hadn't helped and well mine is just gone. It real sucks being 44 and no drive but since she doesn't have it I figure it might be good that I don't either otherwise I'd be bugging the crap out of her. Though I do miss my friend. :-)
Age 44
PSA 4.8
Gleason 3+3=6
T2
Biopsy - 3 of 12 (2@20% / 1@80%
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke with in 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/08
Positive Pathology Report 
Near left side nerve bundle
New Gleason 7
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales
 
9/13/07 - 1 Post PSA Undetectable less than 0.1 
 
9/17/07 - Pad Free! 
 
10/11/07 - ED, Trimix injection .2cc Tooo much but it worked. Now on .05cc, 3 times a week
No luck with viagra or pump. 
 
11/19/07 - 5 mth. PSA 0.1 (Ouch)
02/11/08 - Scheduled for CT Scan and MRI
2/27/08 - Started IMRT Radiation treatments
(6 weeks, 5 days a week)  


CaPCa
Regular Member


Date Joined Aug 2007
Total Posts : 118
   Posted 3/12/2008 12:14 PM (GMT -7)   
Regarding DHT mentioned in wd40's link, the article discusses the role of DHT within the prostate cells. Although it may be "2.5 times more potent as a male sex hormone than testosterone", this may be in relation to its function within the prostate only. I'm not sure that one can conclude from this that DHT controls sex drive. I interpret it as a byproduct of testosterone used internal to prostate cells.
 
To add to the poll, I have personally not seen any difference in sex drive after surgery. my general "horny" cycles seem to be exactly the same as prior to surgery.
Age:45 (44 when diagnosed)
Father diagnosed and cured at age 52.
08/21/07: Diagnosed with T1c cancer
1 of 12 biopsy cores positive; 10% tissue
Gleason score: 3+3=6
PSA level prior to biopsy: 4.3 (velocity < 0.4ng/ml)
10/19/07: da Vinci prostatectomy by Dr. Vipul Patel
              Difficult surgery due to prostate inflammation.
              Both nerve bundles spared.
              Spongy erections began within 24hrs of surgery!
10/24/07: Catheter out; down to 1 Serenity pad/day next day.
              Final pathology: neg margins, no capsular penetration,
              Gleason 3+3=6, 5% tumor involvement, multi-focal.
11/04/07  First usable erection with Cialis
11/22/07  Thanksgiving - Bye-bye, pads
01/17/08  First post-surgery PSA result: < 0.008 ng/ml
 


StrictlyInc
Regular Member


Date Joined Dec 2006
Total Posts : 353
   Posted 3/12/2008 3:00 PM (GMT -7)   
I have checked my testosterone, and it is within "normal" levels, though at the lower end. I have stayed away from being treated for that as some say it can encourage prostate cells to grow faster, bringing a recurrence of the disease faster. That's the last thing I need.

Those issues aside, I'm sure the drop in sex drive is partially due to the complications. It's hard to be horny when you have to use a pump to slap some tight rubber bands on what will be a short-lived rubbery erection, or when you have to stick a needle in your dick. Add to that the loss of spontaneity and difficulties in achieving orgasm, and the fact that while semen no longer comes out, urine does at the most inopportune times. M*asturbation and sex used to be at least much easier, now it requires effort and planning, and the chance of success or satisfaction seems much lower. I haven't given up yet, but I could hardly blame someone else that strongly considers it.
____________________

Prostate cancer diagnosed: May 15, 2006 (age 40)
Gleason score: pre-surgery 3+3=6; post-surgery 3+4=7
daVinci radical prostatectomy: July 25, 2006
size of tumor: approx 1.1 inches; negative margins from surgery

- number of pads/day at 3 months after surgery: 3 to 5
- number of pads/day at 4 months after surgery: 1 to 2
- number of pads/day at 6-18 months after surgery: 0 to 1

- 1st post-surgery PSA: 0 (Nov 2006); 2nd post-surgery PSA: 0 (Feb 2007)
- 3rd post-surgery PSA: 0 (May 2007); 4th post-surgery PSA: 0 (June 2007); 5th post-surgery PSA: 0

The search for timber: took Viagra/Cialis approx. every other day, ErecAid once a day, injections. Peyronie's diagnosed 7/5/07. Now on daily Cialis, L-arginine and pentoxyfylline. Peyronies has stabilized and significantly reversed.

- PGE1 batting average: .364 (4 for 11)
- Bimix batting average: .706 (12 for 17)
- Trimix batting average: .500 (1 for 2) Grand total 17 for 30 = .567

"Lost in the valley without my horses, no one can tell me what my remorse is..."


Mike A
Regular Member


Date Joined Feb 2007
Total Posts : 213
   Posted 3/13/2008 5:56 AM (GMT -7)   
Just to add to the poll,
I have no change in my sex drive, the problem is I'm driving on a Dead End Street.
Best,
Mike
June 2005 - Age 53 PSA 4.8 at regular physical October 2005 - After several rounds of anti-biotics, PSA 5.2 at Urlogist November 2005 - Biopsy negative July 2006 - PSA 5.9 at regular Physical October 2006 - After several more rounds of anti-biotics PSA 8.1 November 2006 - Second biopsy - Positive December 2006 - Gleason (3+4=7), Tumor T1c, CT Scan and Bone Scan Negative
January 2, 2007 Robotic Prostatectomy, University of Rochester Medical Center - Tumor confined but larger than thought, only one nerve able to be spared. Margins clear. February 2007 - Three to fo ur pads a day, no erection with viagara. April 2007 - First Post-Surgical PSA 0.02. Down to one pad a day.July, 2007 - Six Month Post-op: PSA 0.04 No change in ED. October, 2007 - Nine Month Post-op: PSA back down to 0.02!Almost totally dry! Only slight improvement in ED - Will try injections if not improved by next appointment. January 2008: One Year Post-OP PSA 0.02 still dripping, but improving. Tried 500 dose of MUSE for ED, no luck. Will try 1000.


wd40
Regular Member


Date Joined Jan 2008
Total Posts : 218
   Posted 3/13/2008 8:50 AM (GMT -7)   
I had a good conversation with my doctor yesterday about this very subject. He made it perfectly clear it was all in the mind in terms of sex drive. He said when the prostate is removed it physically doesn't alter sex drive but it can diminish sex drive form a minds point of view. he pointed to my wife and said you have a lot to do with the sex drive than you think. "Get a hulla skirt or something," he said and we all laughed. The bottom line seems like is you have to push the erotic button as hard as you can. I think you almost have to say to yourself what will make me the most horny to make your body respond. Kind of like sex drive therapy. SDT, I like that better than ED. yeah

I asked him about the pump, pills and shots. He thought the pump offered little advantage in his experience and thought it a bit early to do anything other than experiment with the pills every few weeks to see what happens. He said lets see how things are in six months postop. Bottom line, is there seems to be no predictor on who will make the most recovery and who want.
12/06/07 DaVinci and open prostate surgery after difficulties in breathing stopped the davinci.
Walked a lot
90% control the day the catherter removed.
pad only for a sneeze before the week was out
No pads most of the second week.

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