1 year and 5 months since surgery (full nerve sparing), and I'm finally seeing some good ED recovery.
Progress has been very slow along the way. Injections mostly worked and pills produced mixed results (sometimes nothing, sometimes so-so interspersed with brief moments of very good firmness).
For several months Dr. Mulhall has asserted that my nerve recovery is probably excellent and that my real issue is anxiety causing adrenaline - which is a powerful anti-erection chemical. (He believes that the issue is anxiety and not nerve problems because I was getting moments of very firm erections using the pills which indicates healthy nerves, and because I was getting better firmness when stimulating alone then when together with my wife.) Note: I never really feel anxious, but Dr. Mulhall's reasoning is pretty compelling based on the evidence, so I'm inclined to agree with him.
My wife and I usually prefer injections for our intimacy, because of the reliably good results. Last night we decided to go with 100mg Viagra, and got a very good outcome: 9/10 or 10/10 firmness for much of the time, with drops to 7/10 periodically (possibly the adrenaline thing).
Testosterone might also be a factor. Two months ago I started taking Chlomiphene to stimulate my body's natural testosterone production, which raised my T from 350 ng/dL (bottom of the normal range) to 750 ng/dL (slightly above average) to address low bone density.
Bottom line is that either my ED has suddenly improved a lot, or my anxiety is dissipating, or raising testosterone is having an effect. Either way, I am cautiously optimistic that I'm nearing the end of needing injections.
Diagnosed and treated in 2013 at 41 years old.
DX 1/28/13 (PSA 9; BX G3+4, 5 of 12 cores). RALP 4/3/13 w/ Dr. Tewari.
Nerves spared, T2c, N0, G4+3, tumor 10%, organ confined, -margins, -EPE, -SVI, +PNI.
Full continence. PSA undetectable.
ED rehab (bimix+pills) and Peyronie's treatment w/ Dr. Mulhall.
/ Surgery Recap
/ Pathology Report
/ PSA History
I recommend these links:
- NCCN Prostate Cancer online book
(PDF download version
- Questions to ask a Robotic PCa surgeon
and/or a Brachytherapy radiation seeds specialist
- Dr. John Mulhall's excellent book
and YouTube videos (I
) on ED due to PCa treatment
- What you should know about Peyronie's Disease
Post Edited (gedman) : 9/14/2014 7:01:46 PM (GMT-6)