Why do old guys even need a prostate?

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UC21
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Date Joined Oct 2009
Total Posts : 68
   Posted 5/16/2011 10:34 PM (GMT -6)   
I understand the incontience to be problematic, but y I have read so many people on this board cringe over the fact that they could become impotent after Prostate surgery. I just don't understand it.
 
Viagra, Cialis, etc....
 
Why do old people need to have sex?
 
I hate to sound insensitive, but I can't figure out why people think being impotent at age 40 and above is such a big deal. Most people are married with kids.... It just seems like a non-issue...
 
 
 
 
 
 
 
 
 
 
 
 
 
 

davidss
New Member


Date Joined May 2011
Total Posts : 4
   Posted 5/16/2011 10:40 PM (GMT -6)   
You have got to be kidding right?

Postop
Regular Member


Date Joined Feb 2010
Total Posts : 385
   Posted 5/16/2011 11:15 PM (GMT -6)   
Define "old"

Radical
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Date Joined Mar 2009
Total Posts : 739
   Posted 5/17/2011 12:15 AM (GMT -6)   
You got one thing right, you certainly are insensitive !

maldugs
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Date Joined Jun 2007
Total Posts : 784
   Posted 5/17/2011 12:20 AM (GMT -6)   
Think you are just stirring the pot, having to give up sex at 40,50, or 60, is terrible for both partners, more so for ppl in thier 40's

Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept. Totally dry since catheter removed
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA from 30th April 08, until now range- 0.5 to 0.6, I am now 70

Steve n Dallas
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Date Joined Mar 2008
Total Posts : 4829
   Posted 5/17/2011 3:40 AM (GMT -6)   
Lets not shoot the messenger rolleyes  
UC21 is just that - 21 or 22 years old according to what he posted in another thread. He'll figure it out soon enough.

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 5/17/2011 4:44 AM (GMT -6)   
UC21- good one Steve love the CSI work on that one....let me quote W.C. Fields:
'Youth is wasted on the Young' (meant only as a joke and not directly at you UC21).

You should try abstaining from anything in that area for one year and then call us back, call collect...we will still accept the charges!!!

English Alf
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Date Joined Oct 2009
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   Posted 5/17/2011 4:53 AM (GMT -6)   
Old at 40!!!!
My father was 68 when I was born
I know of several people over 80 who still haeva sex life.

When diagnosed my uro was very reluctant to suggest surgery as he regarded me as a very young man and I would be at risk of having my sex life ruined for several decades.

Alf

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 5/17/2011 6:23 AM (GMT -6)   
Hey UC21, Good question.

Sit down, brace yourself... I'm going to tell you something that might make you woozy... Ok...You've been warned... Are you ready?

UC, Your parents had sex many more times than the squirt that conceived you. They even enjoyed it very much. They considered the intimacy an act of sharing, caring and love.

Here's the most shocking part. Your parents probably had sex this past week to the music of Duran Duran - and they enjoyed it.

Sure, we old farts don't need to do it. We just like to do it.

May you have the capability until you are stiff in the ground.

Jeff

Oh, and what happens if I am ever kidnapped by the Dallas Cowboys Cheerleaders and I'm called upon to service them all. Think how embarrassed I would be if I couldn't perform. ;-)

Post Edited (Worried Guy) : 5/17/2011 6:58:31 AM (GMT-6)


Ed C. (Old67)
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Date Joined Jan 2009
Total Posts : 2458
   Posted 5/17/2011 6:56 AM (GMT -6)   
Ask that question when you are 70 years old.

zufus
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Date Joined Dec 2008
Total Posts : 3149
   Posted 5/17/2011 7:09 AM (GMT -6)   
Worried guy-Jeff you don't have to worry about the DCC (cheerleaders), how often do you have these dreams? Pull up a couch and talk to me about it, Ziggy Freud and I would love to delve into your thought processes and ask a few questions about your childhood, the past puberty episodes and mother and father and fantasies.....you may have a DCC-complex and we can cure that with electro-shock therapy. Call my office 182-6969 or email at wxyz.brainsaladsurgery.con We offer same day service and solutions...bored and certified, also doing labotomies for half off. (-:
 
  rolleyes

Post Edited (zufus) : 5/17/2011 7:12:43 AM (GMT-6)


Cajun Jeff
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Date Joined Mar 2009
Total Posts : 4106
   Posted 5/17/2011 7:15 AM (GMT -6)   
HAHA! What a great response both by Worried guy jeff and also Zufus. Jeff if that dream of yours did not bring on your morning wood then I think it might be time to consider an implant!

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

reachout
Veteran Member


Date Joined May 2009
Total Posts : 725
   Posted 5/17/2011 7:31 AM (GMT -6)   
Actually, I agree with part of the original question, why do "old" guys need a prostate? The fact is, once child bearing days are done, the prostate is useless. Its only use is to produce a fluid that helps the sperm survive. If it could be safely removed without causing ED or other SEs, it would make a lot of sense to remove it once you're done with kids, sort of like a vasectomy. No prostate = no PC.

Problem is, of course, there is no way currently to do that. But maybe in the future there may be some method like HIFU to burn or dissolve it prophylactically without SEs.
Age: 66
PSA: 7 tests over 2 years bounced around from 2.6 to 5.6
Biopsy 8 of 12 positive, Gleason 3+4, T2a
DaVinci August 2009, pathology Gleason 4+3, neg margins, T2c
Continent right away, ED
Viagra, Cialis did't work, Trimix works well
Post-surgery PSA:
3, month: undetectable <.1; 6 month: undetectable <.014 (ultrasensitive); 9, 12, 15 month: undetectable <.1; 18 and 19 month detectable .05.

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 5/17/2011 7:35 AM (GMT -6)   
Guys,
We know from Maxwell's and Schrödinger's equations there is an infinitesimally small chance that matter can disassemble and reassemble in another location. Any theoretical or quantum physicist can calculate the odds for you.
Even though the odds are very remote indeed, they are infinitely greater than zero!
I figure it is a case of Pascal's Gambit: It is better to be ready, just in case.

Jeff

(At least that's what I'm telling my wife if I ever end up in such a predicament.)

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3732
   Posted 5/17/2011 8:16 AM (GMT -6)   
Zufus,
Does your office do prostate installations? What if one of those ample, childbearing age DCC decides to exercise all her reproductive components to their fullest potential and wants 23 of my chromosomes to make the cocktail. What ever shall I do?
Jeff

Steve n Dallas
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Date Joined Mar 2008
Total Posts : 4829
   Posted 5/17/2011 10:56 AM (GMT -6)   

**Lets avoid being tacky to the original poster.**

As I pointed out earlier - he's 21 or 22 and to him its a valid question.

 


p_elliott
Regular Member


Date Joined Nov 2010
Total Posts : 143
   Posted 5/17/2011 10:59 AM (GMT -6)   
 
 
  How old are you 10 that's the age that kids think that their parents don't have sex. My Parents had sex till my dad died. I hope to die by being shot by a 20 year old jealous husband.

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 5/17/2011 11:15 AM (GMT -6)   
Steve, I am not convinced its either a valid question or a serious one. Why would someone that age come onto a prostate cancer site and say something both ignorant (even if innocent) and so insensitive.

Where my wife works, part of the facility is a nursing home, she tells me all the time of 80 plus year old patients that sneak from room to room for some nooky.

I just can't see this being a serious thread.

If you asked my "little friend" down below, he would tell you that he gets kind of itchy for action after 3 or 4 days, lol

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 margin
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, 2/11 1.24, 4/11 3.81
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 9/10

Sagittarian
Veteran Member


Date Joined May 2011
Total Posts : 546
   Posted 5/17/2011 11:23 AM (GMT -6)   
""Why do old people need to have sex?""
 
Cause it feels (as tony the tiger would say) "Great"

DOB = DEC-1957, PSA HISTORY, FPSA = 7%
2002 = 1.83, 2006 = 3.18, 2007 = 3.09, 2008 = 3.20
2009 = 3.50, 2010 = 3.50, 2011 = 4.70, 2011 = 4.20

BIOPSY, 12 Cores, APR 2011, 4 POS, 2(3+3), 2(3+4) All Left Side
% on Positive Cores, 2(40%) 1(70%) 1(90%), PNI = Not observed

Da-Vinci Surgery = 23 May 2011

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/17/2011 11:59 AM (GMT -6)   
I hope you guys will be able to know when someone is pulling your chain, right?
James C, 64, Kingsport, E. TN
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% inv, lf. lobe, GS6
9/07: Nerve Spar. open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 4/10-.06, 9/10-.09, 12/10-.09, 2/11-.08, 5/11-.08
Bimix .30

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3748
   Posted 5/17/2011 12:38 PM (GMT -6)   
There are women who have their breasts removed as a preventative measure...I can see high-risk men having their prostates removed for the same reason..If done when you are young and HEALTHY, no cancer, the surgeon can use techniques that would greatly limit impotence and incontinence, a whole different operation. Maybe not so "radical"..

Just think of it as a high-octane vasectomy and an insurance policy against PC...Properly marketed, this could be a new lode for surgeons to mine...."Pay me now or pay me much more later" Never have to worry about a PSA test again..Slap on 3 testosterone patches, strut around like Mr. Studly...

goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 5/17/2011 3:10 PM (GMT -6)   
James,

I thought you were going talk about pulling our leg......

From a serious side, most of us know that the prostate also functions as a valve to stop urine flow. I have managed to retrain my pelvic muscles to do a pretty good job, but not nearly as good as that old prostate.

Also, if the DCC came to me for some companionship, my non prostate body would allow for a large wet stain on my kaki shorts.

Prostateless Goodlife

Architect
Regular Member


Date Joined Apr 2011
Total Posts : 43
   Posted 5/17/2011 3:25 PM (GMT -6)   
I'm 36 and going for my surgical pre-consultation on Monday. Am I "old" and therefore should I not be able to have sex? Or is 40 the "official age" at which sex is no longer important. Steve said you're 21. You have to be the most idiotic 21 year old I've encountered, but then again I'm educated and successful...so I avoid moronic kids.
DX 4/26/11 (Age 36)

6/15/09 PSA 2.1
3/17/11 Lost my father to Prostate Cancer that had metastasized to his bones (Age 59)
3/30/11 PSA 2.5 & Abnormal DRE (Nodules felt) found during post-op for extracorporeal lithotripsy procedure
4/18/11 Biopsy
4/26/11 Biopsy Results = 3 of 12 Cores Positive (both lobes) with Gleason 6 (3+3)
5/5/11 CT & MRI = Negative for metastatic cancer

James C.
Veteran Member


Date Joined Aug 2007
Total Posts : 4462
   Posted 5/17/2011 3:36 PM (GMT -6)   
UC21 , would you please email me or one of the other moderators, please?
James C, 64, Kingsport, E. TN
Gonna Make Myself A Better Man tinyurl.com/28e8qcg
4/07: PSA 7.6, 7/07 Biopsy: 3 of 16 PCa, 5% inv, lf. lobe, GS6
9/07: Nerve Spar. open RP, Path: pT2c, 110 gms., clear except:
Probable microscopic involvement-left apical margin -GS6
3 Years: PSA's .04 each test until 4/10-.06, 9/10-.09, 12/10-.09, 2/11-.08, 5/11-.08
Bimix .30

la2rc
New Member


Date Joined Apr 2011
Total Posts : 18
   Posted 5/19/2011 6:14 AM (GMT -6)   
Old people need to have sex to keep their minds off of worrying about the fate of the world in the hands of the younger generation :)
Boyfriend's stats: 52 yrs old
12/29/10: PSA 14, biopsy of 8 cores showing 70-80% involvement. Perineural invasion present, extraprostatic extension is present.
Gleason 4+3
1/21/11: CT & Bone scans show no evidence of metastatic prostate cancer.
3/24/11: daVinci radical prostatectomy & bilateral pelvic lymphadenectomy w/bilateral wide resection.
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