I had RARP with one nerve bundle spared 10 months ago, but no natural erections yet, although I do get some minor lengthening and thickening, same as I have since 2 weeks post-surgery. Nothing has changed or improved since then, was on low dose Cialis for 8 months, then high dose, and also Viagra, but no response at all to pills. Also no response to stimulation of any kind, other than the minor response.
I am impatient, (my wife also, though she pretends to be patient), not interested in injections, and already thinking about
implant, but docs said I should wait at least a year post surgery to see if natural erections come back. Some docs say 18 months, as I had no erection issues prior to surgery.
They have recommended I use a pump a few times a week to help prevent atrophy, and the $30 kind works perfectly well for that. Some of the more expensive ones are better designed to facilitate transferring the rings onto the base of the penis, but I have so much venous leakage the rings don't help much.
I would suggest you try a cheap ring or two first, to see if that helps hold whatever erection you can get. If the rings work, then maybe a more expensive pump will be better if you're having sex, as it may be easier and quicker to get out of the pump and into your partner. If you're just preventing atrophy, an inexpensive pump is fine. Just make sure it has a pressure gauge and release valve.
03/15 PSA 18 at age 52, biopsy 3+3, prostate 90g, AS
By 11/17, PSA 25, biopsy 4+3, high-risk, Decipher 63, time to act
02/20/18 RARP, removed 126g prostate, which had 20% involved
Spared one set of nerves
4/18 PSA <0.1
2 weeks post-catheter already down to just 1 pad/day for mild incontinence
Post Edited (Ocean Geek) : 12/8/2018 2:32:22 PM (GMT-7)