The rad. oncologist I talked to Friday actually explained the penis size issue you brought up above in your post better to me than my dr/surgeon. It still has to do with the connection between the urethra and the bladder neck, and make up the difference where the prostate use to be. In the flacid state, he said the penis is shorter in most all cases because it is being retracted inward. But when it is errect, it is usually the same size as before surgery. As both an
open surgery guy and someone that is still getting natural errections, I can testify in my case that is exactly what is going on. When completely limp I am embarassed, because its just a wee one, much smaller than pre surgery, but when full and errect, easily as big as before.
You bring up some good points and I think a fairer comparison between radiation and surgery. While I have fully adjusted to a sex life without any ejaculate, and that took months to re-train my brain, I would still prefer to be able to ejaculate. But, I am happy to still have a natural sex life, so not really complaining.
57, 56 at DX, PSA
7/7 5.8, 7/8 12.3,9/8 14.5
3rd Biopsy Sept 08: Positive 7 of 7 cores, 40-90%, Gleason 7, 4+3
Open RP surgery 11/14/8, Right nerves spared, 4 days hospital, staples out 11/24/8, 5th cath out on 1/19/9
Pathlogy Report:Gleason 3+4=7, pT2c, 42 grm, tumor 20%, Contained in capsule, one post. margin, clear lymph nodes
2009 PSA 2/9 .05, 5/9 .10, 6/9 .11, 8/9 .16
Lastest 7/13 met with Rad. Oncl, considering options, 7/20 Catheter #6 after complete blockage, 8/14 met with Rad Oncl, still talking option, 8/18 - had laser scope surgery to clear blockage, now on Catheter #7