prostate cancer... What about susequent impotency? Why aren't we prepared? Is their any treatment?

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New Member

Date Joined Apr 2008
Total Posts : 1
   Posted 4/18/2008 1:23 AM (GMT -6)   
prostate cancer and susequent impotency...Why doesn't doctor prepare us. Is their any therapy to regain erections?

Little Jem
New Member

Date Joined Sep 2007
Total Posts : 16
   Posted 4/18/2008 1:50 AM (GMT -6)   
Welcome Stellaluna, but sorry you had to find your way here.
You're right the doc's do seem to make light of after effects such as ed.  However, there are a number of 'treatments' available so please ask your doc.  If you're in the UK, you are entitled to some treatment on the NHS (paying only prescription charge) but I think in the States the drugs have to be purchased (lots of American guys on here seem to use  I'm sure others will be along when the time difference allows to chip in with their experiences. 
Meanwhile you'll find lots of postings on here regarding the different treatments available. 
I wish you well on the road to full recovery.
Little Jem

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 4/18/2008 6:29 AM (GMT -6)   
I guess it depends on the doctor. Before the surgery, my urologist warned me that I would probably be impotent -- he was right! But he has since also conceded that that even though I haven't had the nerve sparing procedure, there is a slim chance that I might regain some natural function. To my thinking, it is better than no chance at all. Isn't it funny how a slim chance and a fat chance are the same thing? :-)
Many people here have the nerve-sparing procedure, and the outcomes then are much better. Some have even reported getting erections while the catheter was still in!  But often the nerves are damaged and take many months to recover. So we're all different.
And it greatly helps if you don't have ED before surgery!
As far as treatments are concerned, yes there are. For severe cases like mine, direct penile injections work (Bimix, Trimix, Caverject). The vacuum pump (VED) also works, although I have yet to master the use of the constriction ring. Finally there is the penile implant, a last resort as far as I am concerned, but apparently very effective.
For less serious cases, there are pills such as Viagra.

Age 63. Other than cancer, in good health
Left hemi-colectomy April 2006 (colon cancer)
PSA 5.7, Gleason 4+5=9
RRP 7 March 2008, non nerve sparing
Histology showed clear margins and lymph nodes
Two nights in hospital
Catheter and staples out after 7 days
Continent, no pads needed from the get-go
No erections (of course!)
Experimenting with VED and Bimix

Post Edited (Piano) : 4/18/2008 5:34:35 AM (GMT-6)

Tony Crispino
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Date Joined Dec 2006
Total Posts : 8128
   Posted 4/19/2008 10:56 AM (GMT -6)   

  tongue    Hi ~ Stellaluna and Loved Ones,


Welcome   to…   ~ HealingWell ~




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Tony Crispino
Veteran Member

Date Joined Dec 2006
Total Posts : 8128
   Posted 4/19/2008 11:02 AM (GMT -6)   

Hi stella,
If you can, log in and go to your control panel and edit your profile.  Please include more information about the cancer and the treatment option.  This will help others help you.  If you need more instructions on how to do your signature you can click on the link below:

Welcome to the finest site on the web for patient to patient interaction.  There are many who have had to deal with ED, and there are meny success stories.  Stay with us in you journey and be patient.  Sometimes things don't happen over night and it takes time to achieve the desired goals.



Here is my signature:

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

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