Pre Surgery ED medication

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Regular Member

Date Joined May 2010
Total Posts : 21
   Posted 7/20/2010 1:20 PM (GMT -6)   
I am having surgery on the 24th of August, and my doctor never mentioned any "Pre-surgery ED meds.  I have no issues today, and I am wondering if that is why.  so I am just wondering how many of you took "pre-surgery ED meds before your surgery, and if so, were you having issues before your surgery.   
Diagnosed with Prostate Cancer 4/10/2010
Age 58
Stage: T2B
Greason Score: 3+ 3 = 6
PSA: 3.0
Prostate volumne 19cc
Tumor present in 3 of 5 cores on both the right and left with 6 of 55  mm or 11% on the right  and 4 of 59 mm or 7% on the left
No angiolymphatic or perineural invasion.  No high grade prostatic intraepithelial neoplasia.

Regular Member

Date Joined Jun 2010
Total Posts : 74
   Posted 7/20/2010 1:26 PM (GMT -6)   
Good luck on your surgery to come in August.  No, my surgeon didn't recommend or even bring up Cialis, et al, until after the surgery, but he then put me on Cialis about a month or so after surgery.  Wish i could say it works, since it's so expensive, but I'm now onto trimix injections and that's working.  You are at a stage where you're worried about the surgery, the catheter, and incontinence (well, I'm putting my words in your mouth) and I think you can best prepare by beginning a regimen of kegel exercises.

Age at Dx:  56
DaVinci Prostatectomy:  10/28/98
Stage: T2C
Gleason - 3+4 = 7
Prosate:  52 grams
Incontinence - absolutely
ED - Indeed
Married, father of two (boys 18 and 17)
6 months later:  member of the "zero" club, working on one pad for 24 hours.  Took Cialis for 4 months (no apparent affect), just had my 1st tri-mix yesterday, that worked in spades!
All good here in San Diego

Regular Member

Date Joined May 2010
Total Posts : 264
   Posted 7/20/2010 1:51 PM (GMT -6)   
My Uro didn't bring up taking any ED meds before surgery either. And he told me recently that there are no studies he is aware of that ED meds taken post op speed up long term natural recovery, although he said he could buy the argument that they do, he just is not sure about it and said if I wanted to take them therapeutically it was fine.
Here are some of my stats:
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 on 6/1/10
Pathology report shows cancer confined to prostate and all other tissue clean
PSA 7/15/10 Zero Club membership card issued (trial membership with 90 day renewal)

Steve n Dallas
Veteran Member

Date Joined Mar 2008
Total Posts : 4849
   Posted 7/20/2010 3:25 PM (GMT -6)   
I took a quick survey were I stated I had no ED problems before surgery.
Can't say that I've seen anyone here mention ED pilss before surgery. If so, it wasn't related to prostate cancer.
Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.

Regular Member

Date Joined Feb 2010
Total Posts : 308
   Posted 7/21/2010 9:59 AM (GMT -6)   
the reason we have to take the ED drugs, is that AFTER the surgery, little willie (and i DO mean LITTLE) doesn't get nerve reaction and blood flow like he used to, and the drugs help keep him from losing his potential, while the nerves are growing back. 
but BEFORE surgery, we got erections and did get blood flow, so drugs, for almost all of us, were totally unnecessary.  it's after the surgery that things don't work like they used to.  i never heard of anyone going on an ED regimen before, unless of course they happened to have ED problems before the surgery
wishing you the best on your upcoming.  keep coming back!

Age@dx: 55

5/05             PSA test 1.8  --12/19/07  PSA test 3.7  --7/25/08    PSA test: 4.7

8/26/08        1st Prostate Biopsy: 3 samples out of 6 have irregular cells

11/25/08      PSA test: 6.5

12/11/08      2nd Prostate Biopsy :  of 12 samples, 3 are cancer, and all other 9 are irregular.  original NJ lab sent samples to Johns Hopkins for special reading.  Gleason 3+3=6.  now:read book, and think about options: radiation, surgery, etc

1/22/09        Radical Retropubic Prostatectomy.  main issue was use of BOTH pre-donated units of blood during surgery, and then required 2 additional units in recovery, before going to room

1/25/09        Released from hospital. No drive, no lift >5 lb

1/28/09        Pathology results from removed tissue:  Cancer was seen on 10% of gland, lymph nodes & SV were benign, nothing seen outside of the prostate.  One area of cancer extended right up to edge, but not beyond.  Gleason was re-typed as 3+4=7, staged T2c

2/13/09        PSA=0.1

3/6/09          6week appt, start back to work Monday, 3/9.  script for Cialis

6/8/09          PSA=0.1

10/9/09        PSA=0.1

2/10/10        PSA=0.3 discussed possibility of radiotherapy and/or hormone.

4/7/10          PSA= 0.4  Recurrence of the cancer is probable. Referred me to RO

5/4/10                   First RT.  RO is recommending 37 treatments x 1.8Gy=66.6 Gy

6/25/10       Final RT. ended up w/ 36 treatments, 64.8 Gy

Forum Moderator

Date Joined Jan 2010
Total Posts : 7084
   Posted 7/21/2010 6:08 PM (GMT -6)   
I had no ED issues before DaVinci, but with my Gleason & extensions, there was little hope for the nerves.
My Uro / Surgeon didn't address ED (and said he would not) until 3 months after DaVinci. He has the logic of fighting incontinence first.
I wish after the fact that he would have given me the Rx for Cialis early, so I could have "stocked up" a bit, since I am on an 8 pill a month coverage from insurance. But then who could expect that the ins. co. would deny a reasonable Rx -
I didn't find this site until after surgery, so can't blame folks here for not warning me.

Regular Member

Date Joined Jun 2010
Total Posts : 84
   Posted 7/21/2010 10:34 PM (GMT -6)   
Good Evening.
I went and harvested a link to another site for your reading pleasure.  I found it helpful as I was making up my mind in 2004.  I think the advise is still valid today. 
Credit belongs to Terry Herbert at
Comments are welcome, Jim.

*Age 60 when presented to GP on 3 Aug. 2004 with elevated PSA of 13.8.
*Referred to Urologist. Biopsy and bone scan in Oct 04.
*Pathology report in Nov 04. Initial Results are T2cNoMo carcinoma of prostate gland.
*Had a RPP on 14 Feb 2005. Boy talk about irony look at that date again.
*Dr. called 3 days after surgery. I want you both in my office tomorrow morning, we must talk now.
*"I wish to apologize because I misdiagnosed your condition. Biopsy of your organ says Staging is T3bNoMo. Please accept my apology."
*At that moment I fell in love with my Dr. and have never changed my mind.
*Followup radiation of the prostate bed started early June 05 and ran 42 sessions.
*All PSA checkups to date, 5 1/2 yrs, are undetectable.

Regular Member

Date Joined Oct 2005
Total Posts : 489
   Posted 7/21/2010 11:00 PM (GMT -6)   
Every time someone brings up this subject I always urge them to jump on the ED drug bandwagon during the month or so before surgery. Even if you have no problems in that area you may find:

1; You hadn't realized you've gone down a few RPM over the years and one of the Big 3 will get you back up there. (If not more intense then perhaps you'll be able to go a lot longer than normal).

2: You will know ahead of time which ED drugs work best (or at all), least side-effects etc. And can then buy those types later on.

3: It is just a lot of fun to experiment with a few samples with your partner.

You can score some samples by mentioning that you'd like to know if they work now (hard to tell after surgery) and you could also mention pre-surgery jitters are affecting your performance -- which may be the last performances for a while too. Docs usual sympathiize and have no problem with that.

So give em a try.
Age 59, 57 at DX, PSA Aug2008 7 4 ... June2007 4.7 (BPH + LUTS)
11/2008 Biopsy: 1 of 12 cores 5%, Gleason 3+3 - Sona showed size 140+ cc (110 grams post op).
02/03/09 open RRP surgery ,Nerve sparing, 1 day in hospital.
02/18/09 Cath out -- passed 1 cm oblong bladder stone (not kidney!).
Pathology Report: All margins clear - No Invasive spread - no change in Gleason score.
04/09, 07/09, 10/09, 01/15/10 PSA <0.1
03/2009 Levitra@20mg / Viagra@100mg/Cialis@20mg -- (nocturnal stirrings started 02-03/2010).
08/09-09/09,02-03/10 MUSE@1000mcg 80-90% (with some ache )
10/09-11/09 TrimixGel@(500/300/100mcg): 60,70,80%,
02/10-03/10 TrimixGel@1000/300/100mcg - 80-90% - just @ usefulness.
Gel + MUSE 500mcg -- 100% for 30-60 mins and 80-90% for hours after that).

Regular Member

Date Joined Jun 2010
Total Posts : 35
   Posted 7/22/2010 5:50 PM (GMT -6)   
My surgery is scheduled for September and the doctor put me on low dose Cialis just this week. I have had no need for ED medication but the doc felt that being on the meds now would give me an opportunity to see if there are any side effects.

Elite Member

Date Joined Oct 2008
Total Posts : 25393
   Posted 7/22/2010 8:08 PM (GMT -6)   
Unless a man was dealing with ED pre-surgery, could't imagine a doctor putting him on ED meds in the pre-emptive mode. Not sure what it would prove? Guess it wouldn't hurt anything.
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, 4/8 .04, next one: Aug 3
Latest:  7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19

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