How Soon Before Using A Pump?

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New Member

Date Joined May 2008
Total Posts : 7
   Posted 5/29/2008 7:10 AM (GMT -6)   
I am three weeks out from RPP.  Having read both the need for and benefits of a pump, I still am unclear as to how soon one should begin using a pump.  Anatomically, I'm looking more like I'm 4 years old rather than 44 - quite a difference from pre-surgery!
Thanks for any help and info.
Age - 44
Biopsy - 3-31-08
Gleason 3+3  PSA 4.95
Radical Perineal Prostatectomy - 5-07-08 at the Medical University of South Carolina - Dr. Thomas Keane
Pathology - 40% of prostate was cancerous

Regular Member

Date Joined Feb 2007
Total Posts : 30
   Posted 5/29/2008 8:27 AM (GMT -6)   

My urologist told me 6 weeks.  I used a VED for a month before I had a usable erection. Don't get discouraged, keep at it. It will never be back to the same length because they cut out the urethra tube that runs thru the prostate.  It does get longer in time as your bladder settles into the void where prostate once lived. I remember going into a stall to urinate because I was afraid someone would notice little "Willie".  After 17 months, I no longer have that concern.

Prostate Cancer diagnosed Dec. 18, 2006
Biopsy 12/13/2006 Gleason score = 3+5=8
RRP Jan. 5, 2007
Pathology - negative margins from succesful surgery
10 mg Cilias M_W_F for 8 weeks
Almost no leakage after 5 weeks
Used Vacurect pump for 4 weeks before useable erection.
Presently using injections - PGE and Trimix caused really bad pain.
Now using Bimix - Bingo, good times are back.
1-yr PSA .02

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 5/29/2008 8:44 AM (GMT -6)   
My nurse told me 6 weeks. My doc laughed and said as soon as I felt like it. It will certainly speed up the restoration of things. I am now back to my pre-suregery size. It takes a few months, but it gets there. things really aren't as fragile in there as you might think - think of a catheter banging around for 7-10 days. Just take it easy and listen to your body. First orgasm's are...well...not painful...but weird. They will get better. My doc said "exercise" it as much as I could to keep blood flowing - besides, he said, it's good for your heart.
47 at Diagnosis.
Father died of Pca 4/07 at 86.
1/06 PSA 3.15
1/07 PSA 4.6      (Biopsy 3/07 just suspicious)
10/07 PSA 5.06   (Biopsy 11/07  1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC
Saved both nerve bundles.
Path Report:  Stage T2cNxMx
-Gleason (3+3)6
-totally contained to prostate,
-10% involvement in L & R Mid lobes
PSA 0 at six weeks
Pad free on March 14 - (10 weeks.)
ED - Take 100mg viagra every night.
Totally usable erections at 10 weeks.

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