Erection questions

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April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/16/2010 10:31 AM (GMT -6)   
1) Is the sole purpose of achieving erections (after surgery) to have sex or is there some reason to be able to achieve erections just for the general health of the penis?

2) If you wait too long after surgery to try and get help with ED, does it impact how likely you are to achieve erections again. In other word, is sooner better than later to try and treat ED?

3)I have a diabetic friend who has a spring loaded syringe for his insulin injections. He puts the syringe against his skin and pushes the button and the needle section is poked into the skin and insulin injected all sort of automatically. Do they have a similar syringe for ED patients. If I need these injections I would much prefer this semi-automated syringe method instead of pushing the needle into my penis myself. I get squeamish just thinking about it.

Thanks, Dan (still haven't had my surgery yet but am curious anyways)
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10


MrGimpy
Veteran Member


Date Joined Jul 2009
Total Posts : 504
   Posted 5/16/2010 10:57 AM (GMT -6)   
Hi Dan,

1) You want to "exercise" the penis which is getting erections. If not then the muscle will atrophy and gradually shrink. Plus part of the surgery shortens the urethra which in turn shortens the penis slightly, you can easily get that back with erection exercising (VED)

2) Yes, the sooner the better, Use it or lose it

3) I use the BD autoinjector, its exactly the same unit that diabetics use. Needles are either 30 or 31 gauge. painless actually. It is far better using the autoinjector that going just a syringe
Stats:
Age: 52, PSA (2008)=1.9
Biopsy on 01/09/09, Gleason Score = 3+3
One (1) out of twelve (12) cores was positive, plus external nodule found
Surgery (Da Vinci, robotic prostatectomy): 4/7/09
Post Op Path 3+3
Removed Catheter: 04/19/09
100% bladder control - Pad free 7/09
PSA 7/09 undetectable, <0.01 - 3 months post-op
PSA 1/10 undetectable, <0.01 - 9 months post-op
Trimix provides 100% erectile function


Tim-from-Maine
Regular Member


Date Joined Apr 2010
Total Posts : 83
   Posted 5/16/2010 10:59 AM (GMT -6)   
My Uro told me to use it or loose it. The sooner you try the better. Eventually it will atrophy if you do not use it frequently.
PSA Feb 09 - 9
Dx age 62 - March 2009 - Gleason 7
Surgery - da-vinci RP on April 29, 2009 Gleason upgraded to 9
Started VEGAN diet June 2009
3 month PSA - <.04
6 month PSA <.04
9 month PSA .05
12 Month PSA  .16
SRT began May 3, 2010 - will do about 41 treatments
 
 


James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/16/2010 11:11 AM (GMT -6)   
As a followup to what you've been told, the question may arise " why don't long term bachelors, priests , etc. who for whatever reason don't masterbate- why don't they shrink and atrophy?" The main use for the post surgical exercise either using the pump or the injections is that until we get nerve regrowth, we will have no erections, including the very important nocturnal ones (sometime 6 or more a night during sleep, in healthy men) that keep the penile tissues infused, stretched and 'exercised. Until we regain those vital nocturnal erections, we need to replace them with artifically produced ones.
James C. Age 63
Gonna Make Myself A Better Man www.youtube.com/watch?v=a6cX61oNsRQ&feature=channel
4/07: PSA 7.6, Recheck after 4 weeks Cipro-6.7
7/07 Biopsy: 3 of 16 PCa, 5% invloved, left lobe, GS3+3=6
9/07: Nerve Sparing open RRP, 110gms, Path Report- Stg. pT2c, 10 gms., margins clear
32 Months: PSA's .04 each test since surgery, ED continues: Bimix- .3ml PRN, Trimix- .15ml PRN

Post Edited (James C.) : 5/16/2010 11:49:11 AM (GMT-6)


April6th
Regular Member


Date Joined May 2010
Total Posts : 264
   Posted 5/16/2010 11:33 AM (GMT -6)   
Thanks everybody for the responses. Dan
Here are some of my stats:
Age:54
Father diagnosed with PC at age 72 - wasn't contained to prostate when found in 1992.
My PSA rose from 3.2 to 5.1 over the course of 1.5 years with Free PSA at 25% for the last two tests.
DRE showed no evidence of tumor but Uro thought my prostate was a little large for someone my age
PCa diagnosed 4/6/10 after biopsy on 4/1/10
1 out of 12 biopsy samples was positive with 5% of biopsy sample cancerous
Gleason 3+4
Da Vinci surgery scheduled for 6/1/10


Piano
Veteran Member


Date Joined Apr 2008
Total Posts : 847
   Posted 5/17/2010 4:18 AM (GMT -6)   
I started to get nocturnal erections again from about 14 months. I'm only aware of them about once a month (not nearly enough!), but that is not to say I don't actually have others that I don't know about.

Lately my pumping frequency has dropped off to about 3 times per week, (injections are no more) and I have seen no evidence of any atrophy occurring.
Pre-op:
Age 63 at diagnosis, now 65.
No symptoms; PSA 5.7; Gleason 4+5=9; cancer in 4 of 12 cores.
Operation:
Non-nerve-sparing open surgery 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?)
19-month: 0.09 (maybe)
25-month: 0.2 (yes, bummer)
ED:
After a learning curve, Bimix injections (0.2ml) worked well. From 14 months, occasional nocturnal erections. At 18 months, "graduated" to just the pump.

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