Erection Five days after prostate surgery

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Bob D
Regular Member

Date Joined Mar 2008
Total Posts : 199
   Posted 3/25/2008 10:18 PM (GMT -6)   
I had the surgery the first week of March. After the surgery my
doctor said it all went well and when asked about the nerve sparing
he said he made every attempt to avoid the nerves. He said time will
tell. Well, five days after the surgery, I was in bed with my wife
Kim. Just before waking I had what you could call an erotic dream. A
pain in the base of my penis woke me up and I found I was getting an
erection. I had to will the erection down because of the pain. The
discomfort was either from the catheter still in my penis or the
stitches in my euretha where it was cut to remove the prostate and
reattached. Kim I were both thrilled when I woke her and told her
what happened. I have had several other erections since but I have to
be careful to keep them minimal due to the possibility of causing
damage. I go next week to get the catheter out.
As the doctor told me "time will tell", but I am optimistic that I
will remain potent. He said recovery of sexual function is improved
by when having the surgery a man is younger and has had good sex in
the past.
A loving and understanding partner also increases the chances of
regaining the ability to have an erection. If she is beautiful and
sexy as Kim is also helps !!!
More good news came to Tuesday from my doctor when he said an
examination of the removed prostate revealed no cancer on the outside
and no radiation will be required because there is no evidence of it
spreading to other areas.

Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 3/25/2008 11:57 PM (GMT -6)   

tongue  Hi ~ Bob D & Loved Ones…


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Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 3/26/2008 12:00 AM (GMT -6)   
Hi Bob, and Kim,
Welcome to the best site on the internet for patient to patient interaction. This site was a God send for me and my bride, Ruth. We have met so many loving, caring, and kind people. First off, "Way to Go"!!! You have had a rare experience with such and early 'rise'. yeah
But your trek, may still require a good deal of patience and some more understanding.  Time will tell if you get everything back on demand.  But there are many experiences here that you will be able to get help with.  Stay with us, and you have our genuine, charge free support.  You and Kim take it easy.  You have my personal prayers that everything works out for you.  God Bless you and welcome to HealingWell.

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. 
Years in Remission (3/23/07): 1
Visit my Journey at:
Prostate Cancer Forum Moderator

Post Edited (TC-LasVegas) : 3/25/2008 11:06:21 PM (GMT-6)

New Member

Date Joined Mar 2008
Total Posts : 19
   Posted 3/26/2008 12:31 AM (GMT -6)   
Congratulations Bob, it sounds like you are off to a GREAT start!
Age 55
PSA 6.7
T1c Gleason 3+4=7...2 of 10 cores
Non-Robotic laparoscopic RP on 3/4/2008
Specimen pathology: T2C organ confined with clear margins. GS lowered to 6!
100% urinary continence since cath removal on 3/11/2008
ED resolution promising.  Levitra is necessary, but working well for intercourse

Regular Member

Date Joined Aug 2007
Total Posts : 118
   Posted 3/26/2008 3:14 PM (GMT -6)   
It's great to hear about your early recovery. I, too, was blessed with early erectile function. I found this to be very exciting sexually in its own right, and this fed my libido very soon after surgery. However, I did experience a plateau in improvement soon after that lasted for awhile. I think the reality simply sank in that I had more work to do on the therapy side (i.e. pump and medicine) that was going to be required to get that last 5% of erectile function. My surgeon also told me not get discouraged if function diminished as it would then return. I'm happy to say that I am 100% back at the 5-month mark, though I still use Cialis as ongoing therapy and have not really tried sex without it. Patience is key even with a good early response. Best wishes to you.

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
03/17/08  Erection quality back to pre-surgery levels with Cialis;
              have not tried without meds yet.

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