Most guys experience here with their docs and ED is that they start the post surgery treatment quickly. The usual is to start on some type of the big 3 ED pills, as soon as the catheter is removed. My doc says Viagra or Levetra 3 times a week, 50mg of the first and 10 or 20 mg of the second. You know of course that the use of the pills don't guarantee an erection, but is used for the purpose of helping with blood flow into the pelvic and penile areas. This does mean no sex, until the doc says it's ok, usually at the 4 to 6 week level. At the six week level, most will start using the penis pump, to help with tissue recovery and stretching. The pump helps expand the penile tissue, helps infuse blood into the penis, spread the cavities and stretch the whole thing. Used daily, even twice daily, a good penis pump will go a long way in helping to maintain good penile health until the penis becomes functional again, with natural or otherwise erections. If there isn't any usable response within 3 months, with pills to help it along, most will go to injections. Injections are usually painless, believe it or not, and will really help the penis to regain its length, girth, and infusion of fresh blood into it. Plus, there's the positive psychological boost gained by having a normal erection when looking down, a big plus for a guy. Some studies say that injections will provide the fastest method of regrowing or regaining natural erection function, for long term erectile disfunction guys post surgery.
Now, a word of caution. When the doc says sex is ok, there may be problems in paradise. He may be one of the fortunate ones who recover function quickly, he may have to reply on pills, or even injections. Approach the first time as a learning experience. It may be successful, or a failure. There may be urination during sex issues, there may be length and firmness issues, there may be deflating during the act issues. The point is, anything can happen, so don't be disappointed, either of you, if it doesn't go right. There's plenty of time to learn what works now, and there's a couple of things to remember. First: he will learn that a man does not need an erection to have a climax. Second, women don't have to have an erect penis available to have a climax. You both may have to alter your expectations from what you have spent a lifetime of being comfortable with, but it can also be a rewarding and fulfilling time to relearn, experiment with what works, and you just might find that you have grown closer than before, with a much more rich sex life than you ever expected. It may take some adventurous sessions, with some experimentation and adjustments, but it just might end up being something that you really didn't expect to be so satisfying, for the both of you. I hope I've given you some idea of what the next few months may bring. It isn't a time to be discouraged, but a time for discovery and rediscovery for the both of you.
James C. Age 62
Co-Moderator- Prostate Cancer Forum
4/07 PSA 7.6, referred to Urologist, recheck 6.7
7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS 3/3=6
9/07 Nerve sparing open RRP 110gms.- Path Report: GS 3+3=6 Stg. pT2c, 110gms, margins clear
22 mts: ED- 50 mg Viagra 3X week, pump daily,Trimix 30/1/20-.05ml 2X week continues
PSA's: .04 each test since surgery