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James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4463
   Posted 12/19/2010 9:20 AM (GMT -6)   
coldfinger in another thread posted for the first time. Welcome to the Forum, thanks for joining us.

He is a RP and Radiation graduate. He asked:
CAN ANYONE COMMENT ON ED AFTER RADIATION vs RP? I know the nerves are damaged, but once the cancer is killed, don't nerves return, at least partially, after a yr or so? Also, visual stimuli seems to work better, or at least as good as the shot. I wonder if invreasing my shot to 0.5 or > would give better results?
James C. Age 63
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% involved, left lobe, GS6
9/07: Nerve Sparing open RRP, Path: pT2c, 110 gms., all clear except:
Probable microscopic involvement of the left apical margin -GS6
3 Years: PSA's .04 each test until 04/10-.06, 09/10-.09- Uh-Oh, next in Feb.
ED-total-Bimix 30cc

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/19/2010 9:47 AM (GMT -6)   
welcome to hw, cold finger - 007

cant answer your ED question, but many others can. i have only one set of nerves (right side) and have never experienced
ED

david in sc
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 12/19/2010 7:00 PM (GMT -6)   
bumped this up - so others can meet coldfinger - before this post gets lost
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Aussie Bloke
Regular Member


Date Joined Feb 2010
Total Posts : 22
   Posted 12/20/2010 5:13 AM (GMT -6)   
I was told by the medics that I had zero chance of natural erections after surgery plus SRT. I believed them and had an implant...works fine after a process. Mind you I first went though viagra, cialis etc plus penile injections..no good.
65 years old

Very fit......weights and running.

Diagnosed May 2009 after biopsy following a jump in PSA from 4.5 to 8.7 in 5 months.

Gleeson of 7.7

Prostectomy July 2009

ED failed to respond to viagra, levitas etc.

Injections worked 25 % but great pain resulted. (agony actually)

PSA 0.12 in October 2009

Radiation treatment from 6 December 2009 to 23 January 2010.

PSA 0.17 in Feb 2010

PSA 0.13 in April 2010.

PSA 0.13 in June 2010

Implant June 2010

Healing of wound in scrotum almost complete August 2010.

Regular and frequent sexual intercourse started in September 2010.

Started taking 60 drops of zeolite per day in October 2010.

16 December 2010 PSA tested at 0.08.

Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4119
   Posted 12/20/2010 6:00 AM (GMT -6)   
I just had RP and nerves spaired. MMMMM Nothing happening down there unless I get chemically induces. Moved from pump to pills to injections.

I think the Dr really under play the ED stuff.

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
2 year PSA <0.1
Only issue at this time is ED but getting better

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 12/20/2010 9:02 AM (GMT -6)   
Coldfinger- fabulous screen name and has all kinds of humor relatives:

Hope you don't get Dr. Odd Job or Dr. No
Do hope after your treatments you can still have 'Pussi-Galore' (ha-LOL)
Hope all your future PSA's are no more than: .007 (Bonded antigens vs. unbonded-James)

As you can see all those hormone drugs have no effect on me? (lol)
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), gland size 35, ct and bone scans look clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off 1+ yr., controlled well, resumed, used intermittently, resumed useage

JNF
Veteran Member


Date Joined Dec 2010
Total Posts : 3887
   Posted 12/20/2010 2:22 PM (GMT -6)   
I have been on Eligard and Jalyn since October 2010, have had two High Dose Radiation treatments (Dec 6 and 13) and 24 IMRT radiation sessions...my 25th and final is tonight. I have not suffered from ED at any time. For a few days after each HDR I am sore, swollen and bruised in the area so choose not to be active. I am confident that I will be fine and have no ED, urinary, or bowel problems from the HDR and IMRT.

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4269
   Posted 12/20/2010 3:01 PM (GMT -6)   
From what I understand of the two procedures, surgery affects the nerves directly (there are many small nerves in addition the the main ones) and radiation affects the blood vessels. Both are needed for errections. ED meds work best on ED caused by reduced blood flow by increasng the supply of blood to achieve an errection. When both surgery and radiation are used it is a double whammy and chances of ED go up dramaticallly.
65 years old, rising psa for 10 years from 4 to 40; 12 biopsies and MRIS all negative. Oct 2009 DXed with G6 <5%. Color Doppler biopsy found 2.5 cm G4+3. Combidex clear. Seeds and IMRT, no side affects and psa .1 at 1.5 years.

BB_Fan
Veteran Member


Date Joined Jan 2010
Total Posts : 1011
   Posted 12/20/2010 3:15 PM (GMT -6)   
My radiation oncologist told me the same thing that JT said above. She indicated that even though I did not have ED problems from surgery, I would very likely have them from the SRT. Funny thing is that I seem to have gotten though both OK. I am still able to have relatively good erections. Although I'm not sure that I should feel good about it. Does it mean the SRT was not as effective as it could be? Sometimes I feel like this is all a crap shoot.
Dx PCa Dec 2008 at 56, PSA 3.4
Biopsy: T1c, Geason 7 (3+4) - 8 cores, 4 positive, 30% of all 4 cores.
Robotic Surgery March 2009 Hartford Hospital, Dr Wagner
Pathology Report: T2c, Geason 8, organ confined, negitive margins, lymph nodes negitive - tumor volume 9%, nerves spared, no negitive side effects of surgery.
PSA's < .01, .01, .07, .28, .50. HT 5/10. IMRT 9/10.
PSA's post HT .01, < .01
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