Posted 1/8/2014 10:31 PM (GMT -7)
Sad to say that my surgeon told me, prior to agreeing to my date with Mr da Vinci, that my erections would NOT rise to whatever level they were before the surgery.
In my case, most of the time I had trouble getting erections and, at times, could barely even feel an orgasm. However, there were times (such as when waking up in the morning) I would find myself with a very hard erection -- BEFORE my surgery. So I knew that the capability was still there, somewhere deep down.
It's important to remember that the two erection producing nerve bundles (on either side of the prostate) have to be gently "prodded or pealed" from the surface of the prostate even during a nerve sparing procedure. Basically, ANY type of touching of a nerve constitutes "trauma" to that nerve, which can be thought of as damage.
How well those nerves recover from this trauma helps determine future erections.
I will say this, however -- without the neutralizing effect of the BPH, the way should now be clear for me to recover some of my ability. I began having sporadic, farily hard erections a few months ago, but nothing real consistent. I'm now 2 years, 2 months post-op.
And over the last 5-6 weeks, including this morning, I have awakened with very good erections for brief periods of time. This morning was the hardest yet, good enough to have penetrated my girlfriend if she had been here.
So I am becoming more & more hopeful that hard erections WILL return as time goes on, erections that will be useful and also last long enough to carry out its mission.
So YOU should also take this to heart if you are in a similar situation. It IS possible!
Sometimes it can take 3+ years before the nerves fully awaken from their coma.
Resident of Highland, Indiana just outside of Chicago, IL.
July 2011 local PSA lab reading 6.41 (from 4.1 in 2009). Mayo Clinic PSA Sept. 2011 was 5.7.
Local urologist DRE revealed significant BPH, but no lumps.
PCa Dx Aug. 2011 at age of 61.
Biopsy revealed adenocarcinoma in 3 of 20 cores (one 5%, two 20%). T2C.
Gleason score 3+3=6.
CT of abdomen, bone scan both negative.
DaVinci prostatectomy 11/1/11 at Mayo Clinic (Rochester, MN), nerve sparing, age 62.
My surgeon was Dr. Matthew Tollefson, who I highly recommend.
Final pathology shows tumor confined to prostate.
5 lymph nodes, seminal vesicles, extraprostatic soft tissue all negative.
1.0 x 0.6 x 0.6 cm mass involving right posterior inferior,
right posterior apex & left mid posterior prostate.
Right posterior apex margin involved by tumor over a 0.2 cm length, doctor says this is insignificant.
Pathology showed Gleason 3 + 3, pT2c, N0, MX, R1
adenocarcinoma of the prostate.
Prostate 98.3 grams, tumor 2 grams. Prostate size 5.0 x 4.7 x 4.5 cm.
Abdominal drain removed the morning after surgery.
Catheter out in 7 days. No incontinence, occasional minor dripping.
Post-op exams 2/13/12, 9/10/12, 9/9/13 PSA <0.1. PSA tests now annual.
Firm erections now briefly happening in early mornings, 2 years post-op.