6 weeks post surgery - expectation setting regarding ED

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New Member

Date Joined Apr 2009
Total Posts : 14
   Posted 7/16/2009 12:57 PM (GMT -6)   
Hi all,
I'm about 6 weeks post surgery and making decent progress on the incontinence front.  Where I'm not seeing much progress is in regards to ED.  Since my catheter removal, I've used a VED and Cialis (5 mg) for theraputic reasons.  I haven't been real happy with the VED (still practicing though) for IC and have therefore been trying full strength doses of Cialis (20mg), Levitra (20mg) and Viagara (100mg).  While I do see increased engorgement with the ED meds, I can't achieve anything capable of penetration yet. 
More specifically, I can achieve a soft,  semi-erection of about 75 degrees (if I were to measure from a standing position).   Pre-surgery I was probably at about 160-175 degrees and fully hard.
My question is, what should my (and my wife's) expectations be in regards to the next 6-12 months?  Will I see undetectable gradual progress?  Or might I wake up one day with a major improvement?  Also, for those who saw improvement, did it occur in the first six months, second six, second year?  Maybe I'm being unrealistic but my goal is useable erections via ED meds only.
I know that my impatience is showing here, but I'm trying to garner more realistic expectations via other's experiences.
Thanks in advance!
Age 40
Diagnosed at age 40 (March 2009) as a result of routine physical
Family history - Father diagnosed and treated at 64, one of his brothers at 70, maternal uncle at 60
PSA 19.14 (first PSA), pre-op PSA 3.93 (second PSA)
1st DRE - abnormal - 1cm nodule -  2 subsequent DREs by 2 different surgeons showed some firmness on right side, no nodule
14 biopsy cores - 1/4 positive on left, < 5% malignant, 3/7 positive on right, 10% malignant, 3 cores of nodule showed no malignancy
Gleason 3 + 3 = 6
Cat Scan - negative, believed to be prostate confined
Bone Scan - negative, no distant metastasis
Davinci RP performed 6/1 by Dr. Jean Joseph at Strong Hospital in Rochester
great wife and 3 young children (ages 4, 6, 8)

Veteran Member

Date Joined Apr 2009
Total Posts : 990
   Posted 7/16/2009 1:28 PM (GMT -6)   
ED is both strange and frustrating. With some guys it is just like old times the minute the catheter comes out while others “limp” along for years. On another thread I report my 3 month visit with my uro. He said that the most I should expect from drugs just now is some non-usable stiffening. Over the next three months he expected that I would develop some natural stiffening and that at some point the drugs would be enough to push that over to a usable erection.

I am considerably older than you, but I would take your response to drugs at six weeks as a very good sign that the connections are there and strengthening. I don’t think anyone can predict how long you will have to wait – again, some guys wake up one morning and ED is over while others chart slow progress over weeks and months. My wild guess is that you will be ready for the Halloween Orgy with time to spare.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4840
   Posted 7/16/2009 2:08 PM (GMT -6)   

The ED pills did next to nothing for me except give me real nasty headaches.

Tri-Mix, the injection medication, WORKS LIKE A CHARM for me.

Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

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