penis length shortening...is it because the urethra is shortened

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jacknoon
Regular Member


Date Joined Sep 2009
Total Posts : 27
   Posted 9/22/2009 8:11 PM (GMT -6)   
...Had prostatectomy 9 months ago.nerve sparing/laparoscopic...Penis is buried like a navel at flaccid state...20% less at erection.I have always been a grower rather than a shower..Levitra high dose gives short lived erection with penis constriction rings..use pump every other day for about half an hour....My question ..If the urethra is used to create a new join to the bladder,would this not shorten it,causing the pulled in look....Also ..Is the urethra able to be stretched so as to gain some length back?......This is a great forum......

TheoTeacher
Regular Member


Date Joined Jul 2009
Total Posts : 47
   Posted 9/22/2009 8:19 PM (GMT -6)   
Some will say the surgery shortens it, some will say it doesn't.  I say, I'm just thrilled the cancer is gone!  For me, sex is more than size, it's sighs!  So I put away the ruler, lite a candle and pour a glass of wine. Cheers!
Dad dx at 72 with Pca; RP at 73; Died 11/08 at 88 from Pca met.
3 Uncles have had Pca; 2 deceased from Pca met.
Me: Age 51: Joyfully Married; father of 7!
Routine Physical 11/07 PSA 1.73 DRE normal
Routine Physical 1/09 PSA 2.77 DRE abnormal.
1st Urologist visit 2/09 DRE normal, small - PSA 6.3!
Biopsy 3/17- St. Patty's Day! 3 of 12 cores positive with 5-8% Pca
3+3 Gleason; Visit Johns Hopkins 3/26/09 and decide for surgery.
Lapro RP 6/29/09; discharged 6/30/09
Cath out 7/9/09 Gleason unchanged 3+3;
"Larger amount of cancer" than expected.
Organ confined Pca, positive margin as "artifact" of surgery.
All other tissues clear.
7 wk psa 8/20/09 - 0.05

"We walk by faith, not by sight."


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 9/22/2009 8:51 PM (GMT -6)   
My surgeon plainly states that it doesn't shorten anything in reality. When they reattach the bladder to the urethra, minus the prostate, the size/weight of the bladder pulls in the penis into your body so to speak in the flacid state. Once men are able to have errections again, size isn't usally an issue in the errect state. I have also read this explanation in several books. But yes, it will appear small, in some cases, much smaller when limp.

Hope that helps.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20%, Contained in capsule, 1 pos margin
2009 PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/09 met 2 rad. oncl, 7/09 cath #6 - blockage, 8/09 2nd corr surgery, 8/9 cath #7 - out  38 days, 9/14/9 - met 3rd rad. oncl., agreed to start radiation, does not rec. HT at this time, mapping on 9/21/9


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 9/22/2009 9:39 PM (GMT -6)   
Again I think this will depend on the individual. I have asked my uro what fills up the space vacated by the prostate and he said the bladder. If this happens, then there is no reason why the penis would appear shorter -- the length of urethra outside the body would be the same as before. This has been my experience -- no change in length flaccid or erect. Although while the catheter was in place, I looked very withdrawn.

However, if something else occupies the space -- maybe fatty tissue, then you could expect to see some shortening -- less urethra outside the body.

Just a theory from a lightweight who have doesn't fatty tissue looking for someplace to go :-)
Pre-op:
Age 63 at diagnosis, now 64.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve sparing RRP on 7 March 2008.
Two nights in hospital; catheter out after 7 days.
Post-op:
Continent; no pads needed from the get-go.
Pathology showed organ confined and negative margins. Gleason downgraded to 4+4=8.
PSAs:
6-week : <0.05
7-month: <0.05
13-month: 0.07 (start of a trend?)
ED:
After a learning curve, Bimix injections (0.2ml) are working well. VED also works but we find it inferior to Bimix.
14 months: Occasional nocturnal erections.


Radical
Veteran Member


Date Joined Mar 2009
Total Posts : 739
   Posted 9/23/2009 12:20 AM (GMT -6)   
TheoTeacher you have nailed this one....................Cheers Kev yeah
Age 51yrs
DX 11/11/08
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4
Gleason Score 3+4=7
Stage T1c
Robotic Surgery 24/12/08
Upgrade Gleanson Score 4+3=7 Gleason Differential 60%/40%
Stage T2c
Three small foci total volume <10%
Neg Margins and Nodes
Nil - Extraprostatic Extentions
Dry less than 1 week.
ED- taking Meds- Its been 9 mnths now getting some action ! yah
PSA 1/09  .03
PSA 2/09  .03
PSA 5/09  .03
PSA 9/09  .03
"Everyday in Everyway I get better"


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 9/23/2009 1:00 AM (GMT -6)   
VED will get the uretha stretched back to normal length in no time

It stands to reason that the reconnecting of the Uretha would lead to a temporary potential pulling and shortening of the Uretha which may pull in the penis. A lot of trauma has occurred in that area and as with any surgery, time and therapy will gain back function
Stats:
Age: 52
PSA (2008)=1.9
Biopsy on Jan 09, 2009
One (1) out of twelve (12) cores was positive, plus external nodule found
Gleason Score = 3+3
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, under .0


Bonedoctor
New Member


Date Joined Aug 2009
Total Posts : 11
   Posted 9/23/2009 6:34 AM (GMT -6)   
Jacknoon,
 
I cant explain it any better than it has already been explained. Stay with your rehap process and from my own experience I can say that you will have what you had from the beginning, a satisfactory sex life, it will only be what you make it, so stay positive and you will be ok.
 
Bonedoctor
56 years old
Diagnosed 1-15-09
PSA 4.6
Gleason 3+4=7
DiVinci Surgery 3-18-09
Bundles spared
Superpubic cath removed after 6 days
No pads after two weeks
Still rehabbing ED

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