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duddy
New Member


Date Joined Jan 2008
Total Posts : 2
   Posted 5/20/2008 3:46 PM (GMT -7)   
How successful is the pump for erections

Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/20/2008 8:36 PM (GMT -7)   
If you have a reasonable blood supply ....
 
[Deleted to comply with forum rules]


Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Post Edited (Piano) : 5/28/2008 11:44:29 PM (GMT-6)


BillyMac
Veteran Member


Date Joined Feb 2008
Total Posts : 1858
   Posted 5/20/2008 9:24 PM (GMT -7)   
Usually after you begin to master the art of their use they are pretty successful. It does take a while though to learn how best to place the constriction ring and more importantly how to remove it. They are good for keeping everything in working order till nerve recovery and/or drug assistance takes effect. I would advise to try a cheaper model. $500-00 seems an awful lot for what is essentially a plastic pump.
Bill
1/05 PSA----2.9 3/06-----3.2 3/07-------4.1 5/07------3.9 All negative DREs
Aged 59 when diagnosed
Biopsy 6/07----4 of 10 cores positive for Adenocarcinoma-------bummer!
Core 1 <5%, core 2----50%, core 3----60%, core 4----50%
Biopsy Pathologist's comment:
Gleason 4+3=7 (80% grade 4) Stage T2c
Neither extracapsular nor perineural invasion is identified
CT scan and Bone scan show no evidence of metastases
Da Vinci RP Aug 10th 2007
Post-op pathology:
Positive for perineural invasion and 1 small focal extension
Negative at surgical margins, negative node and negative vesicle involvement
Some 4+4=8 identified ........upgraded to Gleason 8
PSA Oct 07 <0.1 undetectable
PSA Jan 08 <0.1 undetectable
PSA April 08 <0.1 undetectable


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/22/2008 7:53 AM (GMT -7)   
The pump is usually recommended as a part of ED recovery. It is helpful for infusing the penis with fresh blood, expanding tissue, and stimulating nerves that have been damaged. The pump takes some getting used to, requiring practice and time. The first few times after surgery may be harder, as the penis has not been stimulated or erect in some time, and the tissue may need to be stretched again. The key to using the pump is to use lots of lubrication at the base. This lets you get a good air tight seal. Most of us use the pump without the rings, just pumping up, letting the blood in for a few seconds then releasing. Doing this 3 or 4 times twice a day is good rehab for the penis. If you start out like most of us, the veinous valves that hold the blood in to make an erection won't function and makes maintaining an erection a failure. If you want to attempt intercourse you must find the penis ring small enough that will keep the blood in the penis. Some people use 2 rings of the same size with success. One problem with sex with a pump created penis is that the penis is still soft at and inside the abdomen and you may have a small leverage problem. My experience has been the first few times attempting sex was dismal, frustrating failures. Even now, I use the pump only for rehab and not to keep an erection for sex. I reply on injections for that. There's several good pumps in the $75 to $100 range used here, if you want a recommendation, just ask..

Post Edited (James C.) : 5/22/2008 4:48:07 PM (GMT-6)


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 5/22/2008 7:40 PM (GMT -7)   
I used the pump for three months post-op and still use it occasionally in between the shots. I learned from one guy on the forum, can't remember who, but suggested using two constriction rings and it worked great for me. Just a thought.

P.S. Plenty of water soluable lube helped positionimg it into the tube. Good luck. In my case the effort was worth it. In most cases regular use will prevent penile shrinkage (very importanT)
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C 
5/15/08- 1st Post-Op PSA 0.07 Undetectable


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/22/2008 8:23 PM (GMT -7)   
As well as exercise, I use the ....
 
[Deleted to comply with forum rules]


Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Post Edited (Piano) : 5/28/2008 11:42:24 PM (GMT-6)


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/23/2008 7:47 AM (GMT -7)   
Piano,
Here's the solution I came up with for my Vacurect pump, whose rings weren't practical for me. These rings stretch to the 2 inch diameter fine, with or without the applicator device. I usually just put the next to smallest ring on by hand. The applicator cone makes it easier to apply if you don't have good hand strength.

http://www.vitalitymedical.com/vitalitymedical.storefront/4836d75600595a99271b424d362305fb/Product/View/ENC44023-001_ea

or TinyUrl: http://tinyurl.com.au/x.php?rl7

This probably would be a better solution that sex shop rings. They also have the kit with just the rings, for about 6 bucks less...

James C.

GBINAB
Regular Member


Date Joined Apr 2008
Total Posts : 203
   Posted 5/23/2008 8:33 AM (GMT -7)   
To add just my 2 cents to everyone great input here i bought mine from Vital as well for only $105 which is working great for me , and that comes as a kit which includes the rings and everything else here is the link below if anyone interested ...

http://www.vitalitymedical.com/vitalitymedical.storefront/4836d75600595a99271b424d362305fb/Product/View/AMA94009201_ea

have Fun

GB :-) :-)

PS i was told its even works better if you use oral meds in combination such as Viagra or Cialis for those with Nerves spared.
April 2007 PSA 8.4 for last 6 months biopsy shows PC 3+3=6
June 13 2007 Went for open RP with Dr. Christopher Johnson at St. Francis Hospital NY. with nerve sparing of both sides.
4 days later home for Fathers Day, and Catheter.
Removal of catheter 10 days later , incontinence next to nothing, no pads used from the get go.
1 month PSA next to not detected

ED is a longer battle:1 month out start using occasionally Cialis and 50MG Viagra to promote blood flow with no response for 6 months.
3 months and 6 months PSA not detected
ED 6 months mark starting with VED therapy and being more aggressive with meds , in addition taking Folgard supplement daily.
April 2008 10 month out and start seeing some serious improvements with ED while using Meds and VED , can achieve erections, Mid nights erections almost on a regular basis , and uncontrolled 90 % erections spontaneously.
1 year visit on June 13 2008 woohoooo!!!

UPDATE: 5/12/2008 ED:
With Viagra Usable erection for intercourse after about 11 months out !!!woooohooooo

Post Edited (GBINAB) : 5/23/2008 9:42:11 AM (GMT-6)


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/24/2008 6:27 PM (GMT -7)   

Thanks for the tips everyone.

[Remainder deleted to comply with forum rules.]



Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week PSA: 0 

Post Edited (Piano) : 5/28/2008 11:46:14 PM (GMT-6)

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