So glad to hear he is happier. He should be: he's doing very well at this point.
If he is typical of men after this sort of surgery he is scheduled for another (milder) bout of depression and anger in a couple of months when he gets frustrated with the slow pace of his recovery.
It sounds like he is doing really well, continence-wise, but if he hits a plateau he should ask his doctor about
pelvic floor physical therapy / biofeedback training. It does help ... some ... for most guys. And even the few like me for whom it doesn't help much it gives us the satisfaction of knowing that we are doing our part right. Hopefully he won't need it (doesn't sound like he will) but keep it in the back of your mind.
More likely to be an issue is erectile dysfunction. That usually takes a while to come back. (His surgery was
nerve-sparing, by the way, wasn't it? I have a different spiel for guys who lost their nerves.) Typical time scales for guys who do
recover often show much of the improvement in the second year
after surgery, and further improvement is not uncommon in the third and even the fourth year. While he is waiting for the magic to happen there are things he can and should do to prevent use-it-or-lose-it atrophic changes. He should talk to his surgeon about
"penile rehabilitation". And, to provide a bit of preparation for that discussion, he might want to watch Dr. John Mulhall's lecture on these three videos:Part 1
, Part 2
, and Part 3
The videos are a bit old but they remain one of the best resources available to introduce the topic. If he gave the same talk again today I suspect he might say more about
vacuum erection devices (VEDs) since they have demonstrated some usefulness in recent studies.
Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012:
3)positive 1 of 14 GS6(3+3) 3-4%, 2nd opinion GS7(3+4)
Mild Pre-op ED
DaVinci RRP 6/14/12. left nerve spared
Path: pT3a pN0 R1 GS9(4+5) Pos margins on rt
24 mo ADT3 7/12 - 7/14
Adjuvant IMRT 66.6 Gy 10/17/12 - 12/13/12
Incontinent, Trimix, VED, (AUS Planned)Forum Moderator - Not a Medical Professional