Posted 10/8/2008 11:17 PM (GMT -6)
I had a radical prostatectomy on August 28, 2008. Today was my six week post-op appointment with my urologist.
I'm happy to report that I'm feeling much better, overall. I can finally see beyond today and feel like I can make plans to do things in the future--something I wasn't so sure about a few weeks ago.
The surgical pathology recorded my prostate at 43 grams and showed adenocarcinoma (Gleason score of 6) involving both right and left lobes of the prostate staged as pT2 (more extensive than reported in the original biopsy). The tumor was within 1 mm of the surgical margins but those margins were negative and no evidence of metastasis was found in any of the lymph nodes, bladder, seminal vesicles or vas deferens. All of this is, of course, good news.
I'm regaining some bladder control--e.g., I manage to stay dry during the night. Leaking during the daytime, however, varies depending upon the amount of fluids I drink and the degree of fatigue I experience throughout the day.
Finding the right size "pads" to cope with the incontinence is a challenge. Underwear type (e.g., Depends) are a bit bulky, uncomfortable and unnecessary as leakage isn't usually great enough to warrant wearing them. These do provide a little more secure protection, though, so I use them when I have to be out.
Kotex overnight pads work well except that they are too narrow and I've had an accident or two where I leak around the side--not my idea of a good time, especially in public!
So, I'm wondering--what do some of you use for absorbant pads?
I also have to report that I have had no erections since surgery. This is disappointing but not unexpected. My doctor put me on 2.5 mg of daily Cialis and said the objective is to get blood flowing, not necessarily produce erections. Once we have established good blood flow, we will work on the erections. He didn't set a time-table on restoration of sexual function and while I don't mean to be impatient I am, understandably, concerned about that.
Have any of you have followed a similar course of action? If so, how you feel about the outcome? Has anyone found any "non-medical" treatments that help restore sexual function? Has anyone tried Horny Goat Weed with any success? I ask because the doctor told me that a prescription for Cialis, etc., could cost between $50-100 per month, depending upon my insurance coverage.
Thanks for any suggestions and thoughts. Best wishes to all of you who are facing these issues, as well.