I know this has been a topic before but I need to ask.
I'm only 6 weeks out from retropubic RP. I was pretty much in full urinary control from the get-go after catheter removal. I did do a few days of pads. I also have had some mini-activity in the down under. Levitra has helped a couple of times getting me to about 50%. The couple of times I've tried Levitra, it's mostly headache and a chemical hangover. I'm not sure the other meds would be different.
I'd like to try a VED, at least to get the blood flowing while I heal some more. I have read that these devices really only contribute to veinous blood and not arterial blood that is needed to keep tissue healthy? Am I wrong?
To put things in perspective, I met my wife in 1974. We married in 1977. Even just before surgery last month, all she had to do was walk by me and I would get...well, I'm still in very much in love with that special woman.
Any suggestions on brands (can we even talk about this here?)...or at least favorable technical specifications of these devices and experiences? I don't think I'm going to be ready for the full frontal soon, but I'd at least I'd like to try for better than 50% on our upcoming anniversary.
Lower left groin hernia: mesh and large scar: surgery early 2006
Nov/Dec 07 and March 08 and now Dec 08: Severe perineal pain (between scrotum and rectum). Septra/Bactrim for 8 months (Nov 07-Jun 08) for diagnosed prostatitis.
PSA start of 2008: 5.3..... PSA June of 2008: 7.3
14 DRE all benign or nothing felt
TRUS Biopsy Nov 08: Got copy of pathology (see below). Prostate about 40 cm sq.
General Health: pretty good, 5' 10", 180 lbs, slim.
Bone scan Dec 08: Negative
Barium enema X-ray (March 09 due to several days of blood in stool)
MRI with endorectal coil (April 09 as part of a study)
3D advanced TRUS (April 09 as part of a study)
CT (April 09 as part of a study)
Biopsy Pathology: 5 of 8 cores positive, adenocarinoma in both lobes. 30%-65%. One core perineural invasion. 2 cores "foamy" and suspicious. All +ve cores, 3+3 GS 6.
Open RP surgery: May 5/09 Surgeon spoke to my wife and was very positive. Said both nerve bundles spared and not damaged. Bilateral lymph node dissection performed. Discharged 48 hours after surgery. Staples out, catheter out and pathology sheduled for May 21.
Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
Physical State: Getting back to working out slowly. Urinary control pretty much from the time of catheter removal. Rectal pain, sometimes bad but, told is normal. Erectile function at best 25-30% of presurgery. Trying Levitra...first 10 mG dose gave me nasal congestion, 50% chubby and a 24 hour headache...may go away with more use or change of meds. Considering pump. Recovery from surgery going very well.
Mental State: Pre-surgery anxiety gone. Positive attitude. Some anxiety about seeing radiation oncologist and upcoming 3 month PSA.