6 week post op check up/ need advice

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Runer
New Member


Date Joined Feb 2010
Total Posts : 19
   Posted 3/11/2010 7:58 PM (GMT -6)   
I had my 6 week post op check up yesterday.  I had my first, and hopefully last, penile injection and an ultrasound.  I was very disappointed that, although it grew to twice its size, it wasn't a workable erection. I am 52 and had no erection problem at all prior to surgery.  Now 6 weeks later the doctor tells me I have about 20% vascular insufficiency on one side and 30% on the other.  I only started using the pump about a week ago so hopefully this improves with use.
 
I am using 4 pads during the day and one overnight.  Today I used the pump and the accompanying ring and had sex for the first time.  It was quick as I could feel it deflating but mission was accomplished.
 
Emotionally it was a tough day though.  The doctor seemed disappointed at the level of the erection after the injection. 
 
I know it has only been 6 weeks but I am wondering if I should be experiencing some movement at this point. I would love to hear from any one who has achieved a usable erection, even with pills, as to how they were at 6 weeks.
7/09---routine physical, 4.4 psa
11/5/09---diag: 1 out of 12 cores positive 3+3 Gleason
1/26/10 robotic prostatectomy. 3+3 Gleason, Clear margins
 


seaofpee
New Member


Date Joined Feb 2010
Total Posts : 17
   Posted 3/11/2010 9:58 PM (GMT -6)   
Hi, runner.
I'am 7 weeks out and haven't had an erection, no injections tried cialis only got a headache. Using 6 to 8 pads a day. Waiting for the uro next week for suggestions.
Rich
First surgery October 09, that's when they found psa of 5.4
December biopsy  gleason  7  3+4
January 20 rp
psa 2 weeks after 0.06 Thank God.
I feel blessed.  The surgeon said the cancer was starting to come out of the prostate.
ed. still there no progress uro says pump will help
age 58
cialis caused 3 day headache
surgery done in Denver


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 3/11/2010 10:26 PM (GMT -6)   
runer and rich,

i think you guys are being too hard on yourself. you are both so soon out of surgery, and not just any surgery. you are only weeks out of a complex surgery. i know the ED side is very important, but you should realistic expectations. i hope you both continue to do well in the weeks and months ahead. your poor bodies need a good chance to heal, not just on the outside, that's the easy part, but on the inside where are the complex and intricate surgery took place. good luck to both you guys.

david in sc
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% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, Caths #13 & #14 same time, 3/6 Cath #13 out - 4 days


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 3/12/2010 8:27 AM (GMT -6)   
I am sure you know the standard answer to when function returns: It can be from a day to years, as each man is individual. There's no way to say. The best I can say is to continue the 3 p's- pump, pill, prick. Using the pu,p won't return function, mostly likely, but it will keep the penile and abdominal tissues infused with blood and healthy. As will the pills. You nerves must renew, regrow, and repair itself from any damage done during your surgery and that is the question mark, how long it takes. The injections take time to get experience and to dial it in as to what a successful dose will be, so don't get down because the first time wasn't the blockbuster you were expecting. It will take time and practice. But it';s worth it, as it does more good, as far as healing and recovery, that the other 2 p's. Plus you can have dependable sex again. Just don't get discouraged and give up after the first try. There's several guys here willing to help walk you through the process and can share their experiences with successful injections. Just ask.. smilewinkgrin
James C. Age 62
Co-Moderator- Prostate Cancer Forum
Gonna Make Myself A Better Man: www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
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
32 mts: PSA's: .04 each test since surgery, ED Continues-Bimix .3ml PRN or Trimix .15ml PRN


Bootheel
Regular Member


Date Joined Oct 2007
Total Posts : 300
   Posted 3/12/2010 8:54 AM (GMT -6)   
Six weeks out is a little early to expect much in the ED dept.
I started out with the Viagra and the pump early on then graduated to Bimix in about 3 months. I know it is frustrating after having normal erections but the nerves need time to repair themselves.  I started getting good erections with Viagra about a year post-rp  but 37 IMRT treatments kind of set me back in that department.  Good luck and be patient.
Age 65
Diagnosed 10/12/07
PSA 6.3
Biopsy 18 core samples, 2 positive <5%
Stage T1a Gleason 6 (3+3)
LRP  1/29/08
Post-op
Gleason 7 (3+4)
1 positive margin (.3cm)
T2C
4/16/08- Started Bi-mix injections 
5/15/08- 1st Post-Op PSA 0.07 Undetectable
8/11/08 -2nd Post-OP PSA 0.02 Undetectable
8/15/08- No more pads as of today  Whoopee!!!
11/13/08- 3rd post-op PSA 0.02 Undetectable
03/02/09- 1 yr. post-op PSA .09 Undetectable
05/13/09   PSA .18 (ouch)
Started IMRT June 13, 2009
Completed 37 treatments July 31, 2009 (66.6gy)
11/23/09 Post IMRT PSA .18
2/12/10   Post IMRT PSA 0.00


seaofpee
New Member


Date Joined Feb 2010
Total Posts : 17
   Posted 3/12/2010 10:33 AM (GMT -6)   
Thanks fellas I know patience is needed.
Rich
First surgery October 09, that's when they found psa of 5.4
December biopsy  gleason  7  3+4
January 20 rp
psa 2 weeks after 0.06 Thank God.
I feel blessed.  The surgeon said the cancer was starting to come out of the prostate.
ed. still there no progress uro says pump will help
age 58
cialis caused 3 day headache
surgery done in Denver


Runer
New Member


Date Joined Feb 2010
Total Posts : 19
   Posted 3/12/2010 7:04 PM (GMT -6)   
Thank you all for your input. It is greatly appreciated.
7/09---routine physical, 4.4 psa
11/5/09---diag: 1 out of 12 cores positive 3+3 Gleason
1/26/10 robotic prostatectomy. 3+3 Gleason, Clear margins
 

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