After getting the PSA report, my dr and I spent a lot of time on ED. At almost 3 months post surgery (open), and 3 weeks to the day post the last of my 66 days on catheters, I can achieve errections with no difficulty, just through normal fooling around with the wife. This has been going on for 2 full weeks now. At first, she estimated 60-80%, but after this weekend, she said no doubt 100% pre-surgery. Was able to obtain, maintain till the job was done, without any effort. And can repeat this probably about the same frequency as before surgery, which at 56, wasn't as often as when I was 18. Least I am being honest about it.
Told my dr about our group hear and how some here were wanting a medical explanation for what I am experiencing. He said, he can't give one, that in his 26 years of practice, he has seen men with both nerves spared never have natural errections, and men with both sides removed have natural errections. I quote him here, "someone up there must like you" in that department.
I will change my signature, he now clearly states that he only removed the left side nerve bundle, that he never touched the right side, and that it must not have been damaged as much as he observed. He said the biggest factor is how much shock and trauma the nerve bundles go through in surgery, whether they stay or are removed.
He said he was thankful I had that kind of results, and I assured him I was too. We both agreed that there was no need for pumps or drugs at this point, not unless I lose the ability in the future or have some kind of relapse. He said even a couple of good workout a week the natural way will keep plenty of blood flowing in the right places.
I hope this post can be an encouragement to each man here, whether you are pre-treatment or post-treatment. With PC, nothing is written in stone, you can have different results, no positive way of knowing ahead of time. My doctor and I's agreement going into surgery was the standard order: Get the cancer out with whatever wide margins were needed, try to consider incontinence second, and ED was a distant 3rd. You may remember from some of my pre-surgery posts, that my wife and I were emotionally prepared to deal with me having perm ED.
He also told me not to worry about what becomes of the sperm that is no long ejaculated, he gave me a complicated lesson in biology that made sense but I cant remember now. And then I do ask goofy questions, I asked if penis size had anything to do with ED results, i.e. a tiny weiner might not require as much blood flow as a long dong, he laughed on that and said that made no difference.
Sorry to be so long, wanted to share while this was fresh in my mind.
David in SC
Age 56, 56 at DX, PSA 7/7 5.8, 7/8 12.3
3rd Biopsy 9/8 Positive 7 of 7 cores pos, 40-90%, Gleason 7
Open RP surgery 11/14/8, Non-nerve sparing, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Post-surgery Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsular, clear margins, clear lymph nodes
First PSA Post Surgery 2/9/9