Pain with erections

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skapod
Regular Member


Date Joined Nov 2008
Total Posts : 35
   Posted 11/30/2008 7:17 AM (GMT -7)   
Hi Everyone,
 
Question:  My husband had surgery on November 13th.  He started Cialis yesterday and woke up this morning with his first morning erection.  turn   He's had 2 semi-erections prior to this, my question is, should the erections be painful.  I know the urethra is still healing, but he is saying the whole penis hurts.  Has anyone experienced this before.  I'm fearful having erections so early can do some harm.  Thanks for whatever advice you can give.
 
 
 
Diagnosed:  8/24/08, age-47
Father died of prostate cancer at age 72
PSA 1.5 early 2007, 4.5 mid 2008, all remedies tried & reduced to only 3.2, uh oh.
Biop - 2 positives of 20 samples
Gleason - 3+3
RRP - 11/13/08 via Da Vinci by Dr. David Samadi, Mt. Sinai Hosp. NY
Post op biopsy - 75% of samples positive for cancer, Post op Gleason 3+4
some lymph Nodes tested, all negative
all nerves spared - I'm told
Catheter in for 1 week, using 1 pad a day. 
 
 
 
 
 
 
 

DoingFine
Regular Member


Date Joined Sep 2008
Total Posts : 46
   Posted 11/30/2008 7:57 AM (GMT -7)   
Hi

I had the same problem, it has now resolved itself. I suppose that means, as with most things: time heals.

I remember the doctor telling me, and making a point of, that my penis was very red after surgery (for what that is worth).
Age at dx: 51 Age now: 52
Great health: Riding bike 200+ miles weekly; no symptoms
First PSA: 4.7 March 2008 (bummer)
Second PSA: 4.95 June 2008
Biopsy June 2008
Positive 5 of 12 cores (real bummer) T1c
Gleason 3+3
Bone scan: 7 July negative
RRP surgery 3 Sept 2008 at the Mayo Clinic: Rochester, MN
All clear
Catheter out 22 Sept 8:30 AM, catheter back in at 11:30 (not happy)
Catheter out 30 Sept (this time for good!)
Total continence, no erectile difficulties from day one
(taking 10 mg Cialis daily)
Back on bike 15 Oct. (42 days . . . with doc's approval)
1st post op psa test scheduled for 2 Dec.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25354
   Posted 11/30/2008 8:15 AM (GMT -7)   
Your husband's doctor wanted him to try having erections barely 2 weeks after surgery? Ouch. Is that a normal approach? My open surgery was just 16 days ago now, and there is no part of me that would even want to think about having an erection or even a sexual thought if I could. I am not complaining or critisising, but your post kind of shocked me, still laying here in pain.

Good luck on his fast progress, and I hope they got all the PC out of him.

David in SC
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 7-2008 12.3
PSA 9-2008 14.9
 
Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
Periunual Invasion noted
Additonal High Grade PIN noted
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Nerve bundles not able to be spared, awaiting pathology report, Cath scheduled to be removed on 12-15-2008,


coxjajb
Regular Member


Date Joined Nov 2008
Total Posts : 184
   Posted 11/30/2008 10:02 AM (GMT -7)   
My Dr. started me on Levitra at one week post surgery when the cath was removed. My erections were a bit sore as well. The soreness went away after a couple of weks or so.
Age 50
Pre - Op PSA, 4.3
Gleason 3+4=7
Stage T1C
da Vinci Prostatectomy 8/1/08
No issues with incontinence since day 1 after catheter removal
ED, need a little help from Levitra
First post op PSA 11/11/08, 0.00


skapod
Regular Member


Date Joined Nov 2008
Total Posts : 35
   Posted 11/30/2008 11:36 AM (GMT -7)   
Thank you all for responding. I figured the pain would be normal being so soon after surgery.

Purgatory to clear things up, he wasn't given Cialis to promote erections, he was given Cialis to get the blood flowing to the penis. The nurse told me if he gets an erection to have him think bad thoughts so it goes down, LOL! The purpose for the erection isn't for intercourse, he was ordered not to have sex for 4 weeks, but more therapeutic so when the time comes hopefully he'll be able to achieve and sustain an erection.



Diagnosed: 8/24/08, age-47
Father died of prostate cancer at age 72
PSA 1.5 early 2007, 4.5 mid 2008, all remedies tried & reduced to only 3.2, uh oh.
Biop - 2 positives of 20 samples
Gleason - 3+3
RRP - 11/13/08 via Da Vinci by Dr. David Samadi, Mt. Sinai Hosp. NY
Post op biopsy - 75% of samples positive for cancer, Post op Gleason 3+4
some lymph Nodes tested, all negative
all nerves spared - I'm told
Catheter in for 1 week, using 1 pad a day

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25354
   Posted 11/30/2008 4:57 PM (GMT -7)   
skapod, thanks for clearing that up, your reason makes a lot more sense then my imagination, lol, my dr. hasnt even discussed anything with me since surgery, perhaps when my cath is taken out on December 15th. Hope your husband continues to heal well.

David in SC
Age 56, 56 at DX
 
PSA 2007 5.8
PSA 7-2008 12.3
PSA 9-2008 14.9
 
3rd Biopsy 9-2008 Positive
7 of 7 cores positive, ranging from 40 - 90%
2 tumours noted, Gleason 4+3 and 3+4
Periunual Invasion noted & High Grade PIN noted
 
Open RP surgery completed on Friday, November 14, 2008 at
St. Francis Hospital, Greenville, SC, Dr. Ronald Smith - Surgeon,
Nerve bundles not able to be spared, awaiting pathology report, Cath scheduled to be removed on 12-15-2008, staples removed 11-24-8


Bob D
Regular Member


Date Joined Mar 2008
Total Posts : 199
   Posted 11/30/2008 10:16 PM (GMT -7)   
Hi skapod,
I also had those early erections, (thank goodness), and the first was with the catheter
still in. Now that really did hurt. After it was removed I did have some pain in my penis
especially at the base. There is a lot of trauma down there. As long as you see no bleeding
or swelling it should be okay. I did continue to have as many erections as I could but without allowing
orgasms. ( I believe there is a torture term for this) My wife joked with me that this was her revenge for
all those times I made her angry. LOL. My doctor said to avoid full blown sex for 4 weeks because the violent contractions of
orgasm could cause damage. He did encourage the erections to help blood flow to my penis.
 


    1. 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. Open Surgery. Northeast Georgia Medical Center, Gainesville Ga. 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 (less than four months post op) with the assistance of Cialis.  Post Op Biopsy : No malignant cells in lymph node. Gleason 3=4=7. Tumor on both lobes. Urethral margins/apex free of neoplasia. Right and left seminal vesicles free of neoplasia. No invasion of prostatic capsule of the resection margins are noted by the tumor. Tumor occupies 10 to15% of the prostate gland. Path staging T2c, NO, MX- Group staging II.  Focal areas of perineural invasion by tumor are noted. 80% natural erections and full erections with 10mg Cialis. 9/22/08-Took 10mg Cialis on Monday night, had very usable full hard erection at night, the next morning, and the following Thursday morning, 60 hours after original dose !! Orgasm quality Excellent.!!!!! 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 !!:

Post Edited (Bob D) : 11/30/2008 10:29:26 PM (GMT-7)


skapod
Regular Member


Date Joined Nov 2008
Total Posts : 35
   Posted 12/3/2008 7:16 PM (GMT -7)   

Hi Bob,

I spoke to my husband's doctor and he said that the pain was normal but they DON'T want him getting an erection yet.  I thought like you said, that the blood flow would be good, but I also understand that the strain from the erection can cause damage to the surgery site.


Bob D
Regular Member


Date Joined Mar 2008
Total Posts : 199
   Posted 12/3/2008 9:43 PM (GMT -7)   

By all means listen to your doctor. I did cheat and had partial erections daily for blood flow. I avoided any real stressing of the stitches. I was just so darn happy I could get any kind of erection. turn It sounds like your man will be doing fine !!! Best of luck to you both.


    1. 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. Open Surgery. Northeast Georgia Medical Center, Gainesville Ga. 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 (less than four months post op) with the assistance of Cialis.  Post Op Biopsy : No malignant cells in lymph node. Gleason 3=4=7. Tumor on both lobes. Urethral margins/apex free of neoplasia. Right and left seminal vesicles free of neoplasia. No invasion of prostatic capsule of the resection margins are noted by the tumor. Tumor occupies 10 to15% of the prostate gland. Path staging T2c, NO, MX- Group staging II.  Focal areas of perineural invasion by tumor are noted. 80% natural erections and full erections with 10mg Cialis. 9/22/08-Took 10mg Cialis on Monday night, had very usable full hard erection at night, the next morning, and the following Thursday morning, 60 hours after original dose !! Orgasm quality Excellent.!!!!! 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 !!:

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