Let me start by saying that I am one lucky guy, that what I am experiencing does not apply to everybody, and that I am replying to "How long before big 'O'" and ED timeline as well.
First of all, even while wearing catheter I experienced some nocturnal erections (question from David in SC) which I knew about
because they woke me up because of the catheter. Not painful, but I was laying very still and not manipulating anything.
Had my catheter removed, and the nurse practitioner told me that sex could resume whenever I felt like it. There was no medical contraindication (PLEASE check with your own physician, but do not hesitate to do just that. Ask. Directly.). He put me on daily dose Cialis (5 mg, I used 20 mg Cialis regularly in my pre-op sex life). I asked about
vacuum pumps, but he said they normally don't initiate that unless there has been no progress by 3 months.
I am one of the incredibly lucky ones. I was dry immediately after my catheter was removed. The robotic procedure WAS minimally intrusive, and other than some slight soreness around the wasteline, and a hard lump the size of a lemon under my bellybutton where they made a small incision to haul out my oversized payload, I feel pretty good. Put in an appearance at the office on Day 11, after New Years.
As far as sex, last night (Day 12) experienced my first orgasm. A BJ w/o the mustard, 50% erect. It felt very similar to pre-op, but I still have to explore this sensation. I did notice that my 'card deck' got all scrambled and confused. What is the purpose of what I am doing if it is not to deliver the all important payload? Powered past it, but it was external rather than internal and I know I have work to do to reprogram my mind if I want to seek this out instead of passively receive. It WILL be different, but so far, like I said, I am one hell of a lucky guy.
This moment, here and now, is nothing less than the totality of existence.
I can't control my life, but I can influence this moment.
PSAs 1.6, 1.8, 2.0 at yearly intervals
Mild DRE finding (hindsight unrelated) lead to biopsy
3/08 1st biopsy, 18 core. Pathologist 1, HPIN and ASAP, 0.5mm 1 core. Pathologist 2, carcinoma
7/08 2nd biopsy, 16 core. Pathologist 1, 1 core carcinoma. Pathologist 3, 3 cores carcinoma
Urologist retired. Referred to another Dr in same practice, not experienced enough.
Robotic da Vinci performed 12/22/08, Univ of Washington Med Center, Dr. William Ellis. 6 hr procedure. Both nerves spared.
Catheter out 12/31/08.
Final path report:
79 g prostate gland
1.5 cm^3 cancerous (<5%), bilateral, T2c, Gleason 3+4
Margins clear, seminal vessels clear, 14 lymph nodes negative
Dry immediately after catheter out.
ED - some nocturnal erections even with catheter.
1st orgasm at two week mark. 50% erect, BJ w/o the mustard.
Needs more stimulation, orgasm ok, but my 'card deck' went into 52 card pickup mode, need to reprogram what this is for.