Am I asking for to much ????

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Regular Member

Date Joined Oct 2009
Total Posts : 24
   Posted 10/12/2010 6:04 PM (GMT -6)   
I am 8 months post RP surgery....Feel great physically in the Zero club and doing most of what I did in the comes the but, incontinence a bit of a problem still on 1 pad per day depending on what I do, can knock a fly off the wall whenever I sneeze thou, erections are non existent, I have been on 5 mg cialis daily and even when I take 20 mg or 30 mg no I asking for too much or too soon ? should I be making an appointment with my doctor to try to speed things up or just give it more time ? any advice would be appreciated.......thanks

Veteran Member

Date Joined Mar 2009
Total Posts : 739
   Posted 10/12/2010 6:14 PM (GMT -6)   
Cant comment to much on the incontinence side of things, because I was extremely lucky in that department, and had no problems with leakage from day one. I guess it was about this time 8 months or so, that I got my first nocturnal erection, which was a big surprise and very reassuring, that things were on the mend. I can now after 18mnths achieve an 90% erection with the aid of meds. Hopefully you should start to see some improvement very soon....cheers Kev
Age 52yrs [Gold Coast Qld, Australia]
6 out of 8 cores positive 3 X 60% / 3 X 10%
PSA 4 Gleason Score 3+4=7 Stage T1c
RP 24/12/08
Upgrade Gleason Score 4+3=7 Gleason Differential 60%/40%
Stage T2c Three small foci total volume <10%
Neg Margins and Nodes
Nil - EPE
Dry less than 1 week. ED- okay with Meds.
PSA at 18mths no change remains 0.03
"Everday in Everyway, I get better"

Veteran Member

Date Joined Nov 2007
Total Posts : 598
   Posted 10/12/2010 6:19 PM (GMT -6)   
OK, Take a look at the other drugs. Even though some docs will insist all the drugs are the same, they work very differently for different guys. Have you tried 100mg Viagra? How about Levitra? Ask your doc if you can take a cialis in the afternoon and a viagra at night. See what happens.
are you pumping every day? If not, you need to. Just therapy - 15 mins - twice a day. If you are not seeing results at all, get to injections. They DO jumpstart erections. if your doc is not aggressive enough for you, go to a new one. You are not married to him/her. ED website for PCa guys

46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!

Regular Member

Date Joined Aug 2009
Total Posts : 374
   Posted 10/12/2010 6:29 PM (GMT -6)   
Hi you probably have read here by now, the incontinence thing is all over the map, and varies from individual to individual. Did you have open or Robotic? As to the ED, I can tell you that that 8 months, I was just beginning to see a little life down below. I was taking 100 mg Viagra every night per my local uro, as well as my surgeon, for blood flow. I used a pump intermittently, but not religously as some, or as I should have. But at the 8-9 month mark things started to happen, including nightime erections during sleep cycles. It has continued to get better, albeit slowly. I am now at 21 months, and still believe there will be more improvement. My problem has been low testoterone, which may or may not have a bearing on things ( I believe it does). Can't advise you on Cialis or Levitra. Holding off on considering injections until at least after the 2-yr mark and possible "T" short, I think it's too early to get discouraged or throw in the towel.
Arnie in DE

Veteran Member

Date Joined Jul 2009
Total Posts : 504
   Posted 10/12/2010 8:03 PM (GMT -6)   
Arnie and Zimmer,

Take a serious look at Injection therapy, one you try it you will be furious that you did not try it sooner. Its not nearly as bad as one would think

Cajun Jeff
Veteran Member

Date Joined Mar 2009
Total Posts : 4119
   Posted 10/12/2010 11:42 PM (GMT -6)   
I second the injection therapy. Sounds crazy I know but after you learn how not a big deal and you may find that it gets willies attention and wakes him up to start responding to the pills.

Im at 24 months and have noticed a good change in the last wk. Almost there for the pills alone. At one year there was nothing!..

I also agree get to pumping that monster. Daily activity is you want to keep him alive and well.

Just my 2 cents.

Cajun Jeff
9/08 PSA 5.4 referred to Urologist
9/08 Biopsy: GS 3+4=7 1 positive core in 12 1% cancer core
10/08 Nerve-Sparing open radicalSurgery Path Report Downgrade 3+3=6 GS Stage pT2c margins clea
r3 month: PSA <0.1
19th month: PSA <0.1
Only issue at this time is ED
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