Viagra/Cialis and penile health

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DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 820
   Posted 12/19/2008 6:12 AM (GMT -6)   
My surgeon at City of Hope told me there is a theory that Viagra might be useful in the following way: healthy men have nocturnal erections that promote regular blood flow to the penis. This blood flow helps keep it healthy. Following surgery, daily viagra can reproduce the regular nocturnal erections, thus helping the penis return to health and stay healthy. So they wrote me a prescription, warning that insurance doesn't pay for it since there still aren't any conclusive studies.

I did a little forum and web searching and haven't found any such studies(yet). Anyone else heard of this? Or even is trying it out?
DJ

Age 53
PSA 2007 about 2
PSA 2008 4.3
Diagnosed September 2008.
Biopsy: 6 of 12 cores positive
Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter removed on 7th day, replaced on 8th day
pT2c
lymph nodes negative
"microscopic margins"


aus
Regular Member


Date Joined Sep 2006
Total Posts : 211
   Posted 12/19/2008 6:26 AM (GMT -6)   

Yes, Viagra and similar is often used soon after surgery to promote blood flow and assist the healing process.

BE AWARE that some men experience adverse side effects if they use the large dose often prescribed: start with a small size or cut a large one into smaller sizes to begin with.


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4849
   Posted 12/19/2008 6:37 AM (GMT -6)   
My surgeon at City of Hope told me there is a theory that Viagra might be useful in the following way: healthy men have nocturnal erections that promote regular blood flow to the penis. This blood flow helps keep it healthy. Following surgery, daily viagra can reproduce the regular nocturnal erections, thus helping the penis return to health and stay healthy. said...
My surgeon said the exact same thing. Viagra and a pump can help keep little pee wee heathy which increases the odd of getting past ED.
 
Hitting your Doc up for samples is a good thing yeah
Age 53   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Gleason - 6
(biopsy done March 4, 2008-> 2 of 12)
 
06/25/08 - Da Vinci robotic laparoscopy
10/03/08 - 1st Quarter PSA -> less then .01
 

Surgeon - Keith A. Waguespack, M.D.

Las Colinas and Plano Offices

 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 12/19/2008 9:52 AM (GMT -6)   
My doctor said the same thing and started me when the catheter was removed.  I used 25mg (pill split 4 ways) for the first 6 months daily, then 50mg since daily.  I buy them from alldaychemist.com, as does almost all of the guys here do.  Here's some further reading, if you're interested.
 
http://www.edguidance.com/treatment/drug-treatment.html
James C.         Age 61
Co-Moderator- Prostate Cancer Forum
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
16 mts: ED- Viagra, pump continues, no response- Trimix ..35ml x 2 weekly continues
Post Surgery PSA's: 3 mts-.04, 6 mts.-.04, 9 mts.-.04, 1 Year-.02.


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 12/19/2008 8:31 PM (GMT -6)   
There are studies under way in several areas of the country and in Europe / Canada involving post-treatment use of PDE5 drugs. I figure the studies will be "complete" just about the time Pfizer introduces a new version of Viagra :>) If my guess is right the new version is going to contain LArginine, an NO precursor.
 
Paul couldn't enter the multi institutional study in 2005 because of his previous TCa history.
 
Swim
 


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 12/19/2008 8:43 PM (GMT -6)   
Sure enough. I already have a script of Cialis for after surgery. They also told me, if I remember correctly, that this will also help you get out of the "turtle club" as it will assist in pulling the urethera to in turn pull down the bladder into the space where the prostate was.
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci scheduled for Jan. 19, 2009.Dr. Scott Montgomery, KC Urology,
Shawnee Mission Med. Center. Kansas


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 12/19/2008 8:44 PM (GMT -6)   
Sure enough. I already have a script of Cialis for after surgery. They also told me, if I remember correctly, that this will also help you get out of the "turtle club" as it will assist in pulling the urethera, to in turn pull down the bladder into the space where the prostate was.

Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci scheduled for Jan. 19, 2009.Dr. Scott Montgomery, KC Urology,
Shawnee Mission Med. Center. Kansas


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 820
   Posted 12/19/2008 8:57 PM (GMT -6)   
Thanks guys.

I also keep forgetting to ask--my doc gave me a prescription for Flomax. I did ask the nurse what it was for, and he admitted that he didn't know. He said he did wonder why one would give a drug for enlarged prostate to someone whose prostate has been removed. But he thought the doc must know what he's doing.
DJ

Age 53
PSA 2007 about 2
PSA 2008 4.3
Diagnosed September 2008.
Biopsy: 6 of 12 cores positive
Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter removed on 7th day, replaced on 8th day
pT2c
lymph nodes negative
"microscopic margins"


RBinCountry
Regular Member


Date Joined Apr 2008
Total Posts : 270
   Posted 12/19/2008 9:18 PM (GMT -6)   

The Flomax is a new to me - I note that it is commonly given to those who have undergone radiation theraphy.  Your comment brought to mind one positive note of post surgery blessing.  I can eliminate myself like I could when I was 12 years old.  I could put out most fires!  Flomax is not required.  Doc may be having a senior moment.

 


RB
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


califguy
Regular Member


Date Joined Sep 2008
Total Posts : 72
   Posted 12/19/2008 9:22 PM (GMT -6)   

My doctor also said to start on Viagra as soon as the catheter was out. He asked last week if I was using it at least twice a week. I was only using it a little more than once a week and he wasn't too happy. Said get back to at least two or more. He feels it really helps. Also suggested a pump as that can help also.

I had no erection problems after surgery but then got an infection in the surgery area and ED set in. Now that the infection is gone the ED is almost gone too!

Nice holiday present for me!


Don't get discouraged!!
CalifGuy
 
Diagnosed Feb 2008  54 years old
3+4=7 gleason
7.5 PSA
4 out of 20 biopsies were cancerous
daVinci Robotic surgery July 24, 2008
Univ of Calif San Francisco Med Center  Dr Peter Carroll
In hospital 2 nights altho I had option of leaving the next day but stayed due to distance home.
Contained in prostate, not spread
Six weeks post surgery PSA less than .01
Five month PSA less than 0.1  Lab did wrong type of PSA test so this test was not as accurate.


Ralph Alfalfa
Regular Member


Date Joined Nov 2008
Total Posts : 469
   Posted 12/19/2008 9:26 PM (GMT -6)   
Ditto that. My doc told me it wouldn't be necessary after surgery since I wouldn't have a prostate anymore. I took it before the biopsy for swollen prostate, and still take it, so I can can now pee across the street rather than dribble on my shoes.

Bob
 AGE:57
 Dx: October,27(the day after my birthday)
 Psa 14.5
 Gleason:(4+3) 7
 Bone scan:Negative
 Cat scan: Negative
 Biopsy: 4 of 12 positive, left side, pre-cancerous on the right.
 Confined to prostate.
 DaVinci scheduled for Jan. 19, 2009.Dr. Scott Montgomery, KC Urology,
Shawnee Mission Med. Center. Kansas


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 820
   Posted 12/19/2008 9:37 PM (GMT -6)   
If Flomax helps you produce a stronger stream, then it makes sense. For the half day I was off the catheter, I was only making a weak dribble. It got weaker and weaker before finally shutting off. Maybe I should ask for more Flomax.
DJ

Age 53
PSA 2007 about 2
PSA 2008 4.3
Diagnosed September 2008.
Biopsy: 6 of 12 cores positive
Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter removed on 7th day, replaced on 8th day
pT2c
lymph nodes negative
"microscopic margins"


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 12/19/2008 10:25 PM (GMT -6)   
Flomax is usually a short term medication just prior to and for a few days following cath removal to aid in easing urinary flow. U of M does this. Not sure how often this is a prescribed medication in general.


Swim
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 820
   Posted 12/20/2008 5:52 AM (GMT -6)   
Hmm...Since I had to have my catheter put back in, maybe I should have gotten more Flomax? I'll see if I can ask. Too bad it's the weekend.
DJ

Age 53
PSA 2007 about 2
PSA 2008 4.3
Diagnosed September 2008.
Biopsy: 6 of 12 cores positive
Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter removed on 7th day, replaced on 8th day
pT2c
lymph nodes negative
"microscopic margins"


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8128
   Posted 12/20/2008 12:04 PM (GMT -6)   
Hi DJ,
It shouldn't matter you can call CoH on the weekend. If the Nurse Practitioner (Erwin?) is in he can call the surgeon and get it. I found CoH to be very accessible. Was your surgeon Kawachi or Wilson?

Mine was Wilson, but I understand both are great surgeons...

Tony
Age 46 (44 when Dx)
Pre-op PSA was 19.8
Surgery on Feb 16, 2007 @ The City of Hope
Post-Op Pathology: Gleason 4+3=7, positive margins, Extra Prostatic Extension (EPE)
Bilateral seminal vesicle invasion (SVI); Stage pT3b, N0, Mx
HT began in May, '07 with Lupron and Casodex 50mg (2 Year ADT)
IMRT radiation for 38 Treatments ending August 3, '07
Current PSA (September 17 '08): <0.1 ~ Undetectable!
 
You can visit my Journey at:
 
STAY POSITIVE!
 
 


DJBearGuy
Veteran Member


Date Joined Dec 2008
Total Posts : 820
   Posted 12/20/2008 1:07 PM (GMT -6)   
Hi Tony,

I called as you suggested and talked to a woman with a strong accent. My experience with the Triage number has really been a mixed bag. The first person I talked to last week, Amy, was a life saver, as she was the one who put my catheter back in when it was sorely needed. But when I called back a couple days later, I got transferred 3 times and wound up with an oncology nurse even though I pressed "2" for surgery. She did take a message and said someone would call me that afternoon. No one did, so I called again, and called again, and and finally got someone at 6:30 pm, who (at first) asked me to call back during the day. But I told her I had done that first, and she wound up being very helpful.

While I was typing this, the nurse called back and said I don't need any more Flomax.

Sorry about the boring details. My doctor was also Wilson. Seems like a good guy, though maybe overworked. Very easy to talk with. Nursing care when I was in for the surgery was really good.
DJ

Age 53
PSA 2007 about 2
PSA 2008 4.3
Diagnosed September 2008.
Biopsy: 6 of 12 cores positive
Gleason 4+3 = 7
CT and Bone scan negative
Da Vinci surgery at City of Hope December 8, 2008
Radical prostatectomy and lymph node dissection
Catheter removed on 7th day, replaced on 8th day
pT2c
lymph nodes negative
"microscopic margins"


GBINAB
Regular Member


Date Joined Apr 2008
Total Posts : 206
   Posted 12/20/2008 2:47 PM (GMT -6)   

Hi Guys ,

That is what my Uro suggested as well, he gave me the godie  bag  2 weks after m Cathetar was removed , i used th Viagra on a once a week basis  but  since it  showed no progress even whil masterbating i got a bit discouraged and waited till 6 months to start using the Pump and some more of the  Oral therapy , howevr it too me about 10 months to start seing  some improvement , i regret the fact i was not more agressive at  the begining , especially with the VED  an Oral medication  snce i feel it would have brought me a faster recovery , i am at my 18 months mark , an experience an 80% erection naturally an at 90 to 95% with oral meds and the right woman ....however i am not using any meds on a regular basis or the VED  at present , i am thinking maybe i should get back to a more agressive therapy for the next 6 months at least to improve  natural erections....

Hope all of you doing well and it does require patience  and time to heal ... 

reading those lonks above are a grat help and encouragement....

GB smilewinkgrin


April 2007 PSA 8.4 for last 6 months biopsy shows PC 3+3=6
June 13 2007 Nerve Sparing open RP / Dr. Christopher Johnson at St. Francis Hospital NY.
4 days later home for Fathers Day, and Catheter.
Removal of catheter 10 days later , incontinence not an issue, no pads used from the get go.
1 month PSA next to not detected

ED is a longer battle:
1 month out start using occasionally Cialis and 50MG Viagra to promote blood flow with no response.
3 months and 6 months PSA not detected
ED 6 months mark starting with VED therapy and being more aggressive with meds , in addition taking Folgard supplement daily.
April 2008 : 10 month out and start seeing some serious improvements with ED while using Meds and VED , can achieve erections, Mid nights erections almost on a regular basis , and uncontrolled 90 % erections spontaneously.
1 year visit on June 13 2008 woohoooo!!!

UPDATE 1 YAER FOLLOW UP
ED: With Viagra Usable erection for intercourse , AND AT 80% without any medications !!
Fully continent since removal of catheter.
PSA one year : 0.0 as of 6/13/ 2008 BIG Wooohoooooooooo!!!!

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