I hear varying stories regarding ED following RP - some say that as much as 60-70% of healthy men retain potency while others are much less enthusiastic. Going by men I speak to who've gone through the procedure, I find this doubtful. I've never met one yet that isn't dealing with ED to some level or other. My urologist has been pretty upfront saying that it's never going to be the same and that I have about
a 50/50 chance of potency. Surprisingly, I don't think that I've ever seen members with RP polled on this issue. To be fair, I think we should establish a few prerequisites:
- You should have been at least reasonably potent before RP. If one has sexual difficulties before RP it is unrealistic to expect potency afterward.
- You should be at least a year out of surgery before claiming impotency. However conversely if you are 2 months out of surgery and fairly potent, I think it is fair to answer.
It also doesn't help to sugar coat things. I would rather go in with my eyes wide
open and perhaps be pleasantly surprised than go in with unrealistic expectations.
B-year: 1959 PSA ~7.4
-1Biopsy: 2011; 2/12 positive, G6(3+3), both 30% T1c
-2012 Tesla 3 MRI - no nodules or progression outside prostate.
-2nd biopsy 2 /10 positive, G6, 40 & 70%
-3rd Biopsy July 2013 3/13 positive, G6, 1%, 5%, 40%
Active surveillance; following Ornish/Michael Milken-style diet
- 4th biopsy - small amount of G7 in nodule identified from MRI - surgery probably in February
Post Edited (Dreamerboy) : 1/17/2015 8:21:59 PM (GMT-7)