Boxers will certainly let your testicles sag. just like women's boobs, our ball sac will look more and more like something out of National Geographic as time goes by. My sister in law works in a nursing home and she warns me about
wearing boxers. Says i'll regret it when someone sets me down on the toilet and my privates get a cold bath.
Actually, i asked my surgeon about
this and asked him to explain. His answer is that it most certainly is NOT the loss of the inch of urethra. they must leave the exterior abdominal boundaries where they are and pull everything else down to the urethra. They pull the bladder down into the urethral canal and create a new neck for the bladder. Read Snuffy Meyers book. it has illustrations and all. if they did not do this, and simply pulled the penis up to the bladder, you would tug directly on the bladder and cause huge damage just by pulling your penis. God knows, we men do that enough.
There is trauma to the area which shrinks everything down, but this is due to low blood flow. What happens, according to my surgeon, is that you have a certain grace period where you can recover from this low blood flow and have few side affects. But, the longer it lasts, the more smooth muscle tissue is lost from the penis and surrounding area. Once the smooth muscle tissue atrophies, it is gone forever. he insists it is very strongly linked to the skill of the surgeon how much collateral damage is done and so prevent a lot of trauma and tissue atrophy. The soner you get blood flowing back into the penis, the better things will be. ED drugs, pumps, JO (even when limp) will all get blood flow going and minimize shrinkage. As many guys have said here, a pump that will stretch things out and pull in blood is probably the best tool to keep things going.
having said that, he did say that most men should not experience mush shrinkage at all. If you are getting erections as firm as you were before surgery, your penis will not be noticably shorter. Most of us have the problem that the engorgment simply is not there. Over 1/3 of the penis is inside the body. Without that full engorgement, that bulb of the penis will not push the exterior part of the penis out further. I have rarely gotten an erection as firm as before surgery, but when I did, my wife mentioned that it was good to see my back to my old self. So, i think the dr was right.
limp out of a warm shower, I think I look perhaps a tad thinner than before surgery, but length is still there. when things are under full pressure, I am perhaps 1/4 to 1/2 inch shorter, but not enough to notice or bother either my wife or me....and it's not as though I was hung like a horse to begin with! just average.
Again, it bothers us men more than it bothers our female partners. Gee, wish I could invent an augmentation procedure along with a prostatectomy so that a reward for going through all this crap would be a **** size member. Let me start disecting mice or something....
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 www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-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.