Viagra vs. Levitra...

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Regular Member

Date Joined Jun 2008
Total Posts : 91
   Posted 6/24/2008 1:14 PM (GMT -6)   
my doctor gave me samples of each to combat the ED resulting from RRP. Does anyone have any opinion on which is better, pros and cons, etc.? Thanks...
Husband and father of two (current ages 4 and 6).
Age when diagnosed: 47 (current)
Biopsy showed cancer only on left side.
Pre-surgery PSA: 13.7
Pre-surgery Gleason: 4+3=7
Pre-surgery Staging: T2
CT Scan, Bone Scan, PET Scan: Clear
Robotic Surgery on May 28, 2008, at Barnes Hospital in St. Louis.
Right nerve bundle spared; left bundle removed.
Catheter for 8 days with infrequent "stress" leaking since. Now use one or two pads during the day and none at night.
Gleason: 4+3=7
some perineural invasion noted.
no lymph node involvement.
margins clear.

James C.
Veteran Member

Date Joined Aug 2007
Total Posts : 4462
   Posted 6/24/2008 2:38 PM (GMT -6)   
Not really a difference for me, neither works.... tongue    However Viagra has a flushing issue for me, and Levitra works longer, but may not have as fast an initial start to it as Viagra does.   Try both, and decide.  Remember, don't be disappointed if nothing happens with either, its early in your progress from surgery still, so expecting much in a month is ok, but don't be disappointed if it doesn't react.  If you haven't discussed it yet, I'd ask the doc for a prescription for a VED (pump at the 2 to 3 months mark, to start blood flow and penile atrophy therepy.  That's the usual steps, pills, pump, and injection in that order.  
James C.
Co-Moderator- Prostate Cancer Forum

Age 61
4/19/07 PSA 7.6, referred to Urologist, recheck 6.7
7/11/07 Biopsy- 16 core samples, size of gland around 76 cc. Staging pT2c
7/17/07 Path report: 3 of 16 PCa, 5% involved, left lobe , GS 3/3:6.
9/24/07 (open) Retropubic Radical Prostatectomy performed
9/26/07 Post-op Path Report: GS 3+3=6 Staging pT2c, 110gms, margins clear
10/15/07 ED- begin 50mg Viagra and Vacurect pump nightly, Fully continent
1/14/08 Caverject started/stopped, aching. 2/24/08 .5ml Bimix started-success
5/7/08 ED- Viagra, pump, no response- Trimix .075ml continues
Post Surgery PSA's:  3 mts-0, 6 mts.-0

Regular Member

Date Joined Jul 2007
Total Posts : 242
   Posted 6/24/2008 7:29 PM (GMT -6)   
I tried Viagra first, and would have excellent results most of the time, but for 24 hours afterward I would get very congested and sneeze a lot. I switched to Cialis which lasts a little longer and the side affects are not as bad as the Viagra, so that's what I'm now using. Sorry, but I haven't tried Levitra. Maybe I should have my doc give me some samples.
Biopsy: Diagnosed March 25, 2007. PSA 3.0. Gleason 6. Five of twelve samples positive with <5% each. No perineural invasion seen.
Surgery: May 21, 2007, Florida Hospital, Orlando,FL
Post-op Pathology: Upgraded to Gleason 7 (3+4), negative margins, negative capsular penetration, negative seminal vesicles, lymph nodes left intact, multifocal perinural invasion, 15% of prosate involving cancer in both lobes. T2c
Continence/Erections Out of pads at five weeks. Fully continent and can achieve erections.
Post Surgery PSA: Five tests, all <0.1
Family history: Great-great grandfather died from PC. My Father had his prostate removed at age 67 in 1997 and has had an undetectable PSA ever since. I was diagnosed at a much earlier age and had a more agressive cancer than my father. Go figure.

Bob D
Regular Member

Date Joined Mar 2008
Total Posts : 199
   Posted 6/25/2008 12:19 AM (GMT -6)   
Are you getting any signs of an erection without meds? My doctor just gave me the same two. I have not tried the Viagra yet but the Lavitra worked great for me. My erections were good, ( first one 5 days post op and about 80% without meds) but with the Lavitra they are like pre op. I was quite surprised and pleased. I got a little headache from it but it is worth it. His nurse called and said the Cialis is in and she is sending me some samples of it. I hope it works as well. I like the idea of it working for 24-36 hours.
You are young and have a good chance of regaining your erections.
Good luck and stay positive.
Age 59, psa 4.7 in Jan. 08. Biopsy: one positive sample out of 13. 1% of one sample cancer. Prostate removed on 3/5/08. Nerves spared. Cath out 12 days later. Continence good. No pads needed since 6/10/08. First PSA: Less than 0.1 on 6/17/08. First erection five days post op and have been improving well since then. Full erection now possible but not as easy to maintain as pre op. As of 6/18/08 with Lavitra a full erection easily maintained is now possible. I am pleased with the progress so far. Married to same wonderful woman for 39 years.
She is still beautiful and sexy as ever. A great help in my recovery !!

Veteran Member

Date Joined Aug 2007
Total Posts : 1015
   Posted 6/25/2008 12:28 AM (GMT -6)   
I've tried all three: Viagra, Levitra, and Cialis.  Not one of them work very well for me, but Cialis works the best of the three.
(1) - Cialis - somewhat effective
(2) - Viagra - (too much nasal congestion when it does work)
(3) - Levitra (really has no effect for me)

New Member

Date Joined Dec 2007
Total Posts : 3
   Posted 6/26/2008 7:22 PM (GMT -6)   
I also had one nerve bundle removed and, as my doctor forewarned, it has been a slow road back in the erection department. I tried Viagra early on with no results. Not much better with Cialis, but had a major problem with "flushing". Got some Levitra samples from my doc and,thankfully, am starting to achieve erections again with very little of the flushing. I guess everyone reacts differently to the various drugs available. Anyway, good luck and stay positive.

Age: 56
Radical Prostatecomy 4/18/07 Rush University Medical Center-Chicago
Cancer free ever since
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