Wasn't prepared for the shrinkage issue!

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Sam Benton
Regular Member

Date Joined Dec 2008
Total Posts : 35
   Posted 12/7/2008 8:03 PM (GMT -6)   
I had my surgery on Nov 3rd and I have shrinkage issues, hasn't returned to normal and I haven't had an erection yet. smhair I am concerned although I may be expecting too much too soon.

Veteran Member

Date Joined Apr 2008
Total Posts : 847
   Posted 12/7/2008 9:35 PM (GMT -6)   
Shrinkage is normal. But the good news is that normal length usually returns with erections.

Surgery shortens the urethra by about an inch, and because the penis is firmly attached, the shortening draws it too back into the body.

However return of erections, however you do it, draws the penis out, and the bladder tends to drop down into the hole that was the prostate and the missing section of urethra. I won't say this always happens, but it did in my case.

If you want to speed things up, get a cheapie pump (VED) and start pumping!
Age 63. Other than cancer, in good health; BMI 20
Pre-op: No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores
7 March 2008, RRP, non nerve sparing
Two nights in hospital; catheter and staples out after 7 days
Continent, no pads needed from the get-go
Post Op: Stage pT2 M- N-; clear margins and lymph nodes; Gleason 4+4=8; prostate weight: 37gm
6-week and 7-month PSAs: 0
Bimix injections working well 

Regular Member

Date Joined Apr 2008
Total Posts : 270
   Posted 12/8/2008 12:30 AM (GMT -6)   
The shrinkage was a concern to me at the beginning also. It was dramatic then, and I would say embarrassing - thus the name "turtle club" used by others here is very fitting. However, this did not last. It may be that there is some slight difference at normal posture, but very little difference.

Your urether has to drop down and fill the void left from the removed section where the prostate was, and of course all swelling etc. has to cease. Like others I would suggest you provide some blood flow to that area and even some slight assist to pulling Mr. turtle down so that the inside void is filled.

Age 61 (now 62)
Original data - pre-operation
PSA: 5.1
T1C clinical diagnosis, Needle biopsy - 10 cores, Gleason 7 = 3+4 in 1 core (40%), 7 cores Gleason 6 = 3+3 ranging from 5% to 12%
All scans negative
Lupron administered 4/9/2008 for 4 months (with idea I would undergo external beam radiation followed by seed implants - then I changed my mind).
Robotic DiVinci surgery - Dr. Fagin (Austin) May 19th
Post operative - pathology
pT2c NX MX
Gleason 3+4
Margins - negative
Extraprostatic extension - negative
seminal vesicle invasion - uninvolved
1st Post PSA <.04
2nd Post PSA <.1 10/30/2008

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