ED Comments and Urinary Flow Query

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Veteran Member

Date Joined Oct 2006
Total Posts : 621
   Posted 12/15/2006 10:00 AM (GMT -6)   
Tamu and Kat (and others)
It is so helpful when you continue to post your erection (or the lack thereof) experiences.  yeah We too are on a ED rehab program using Cialis . . .Bob takes Cialis; the doctor suggested initially to take one 25mg tablet twice a week for blood flow and thickening.
There's definitely thickening and lengthening, but not even anything close to being able to be useful. mad
I keep telling Bob to be patient (patience, patience, patience); we also have used Kat's shower suggestion which is somewhat helpful (well at least with the lengthening and thickening).  The part I think that helps the most is reading the other experiences in this forum and realizing that everyone is different of course, but our experience is also considered normal.
Now, for our other issue . . . . . have any of the guys experienced frustrating urine flow?? . . . Let me explain. . . . .since surgery (and now, with almost total continence) the pressure of the flow has increased dramatically from what it's been for a few years now. . . .however, Bob says at times it actually breaks into two streams (forked as he calls it) which of course makes it impossible to keep BOTH of these aimed where they are supposed to be going. . . . . has made for many oops' around the toilet. mad
He says there's no way he can explain this to his doctor (I say he can if he uses the correct terminology) . tongue . .I'm thinking there'll be comments and advice right here!  Your replies are appreciated.
:o)  Linda & Bob

Bob (60) had laproscopic prostate surgery on Sept 27, 2006 - 2/12 malignant biopsy samples - gleason 3 + 3 = 6.  Follow up PSA results and pathology results received Nov 14th are NO MORE CANCER!  Gleason changed to a 3 + 4; cancer completely confined to prostate; (even a second more agressive, previously undetected cancer)      PSA UNDETECTABLE.
Bob also takes Hydroxyurea to control Polycythemia (elevated red & white cells & platelets) has secondary condition . . Myelofibrosis) -- If anyone has experience or knowledge of these, please post us.

Regular Member

Date Joined Aug 2006
Total Posts : 148
   Posted 12/15/2006 10:19 AM (GMT -6)   
I had a problem with flow direction too. It was caused by scar tissue in the urethra and actually sent the flow sideways much to my dismay. The scar tissue was caused by the catheter, which irritated me almost the entire week it was in place. The surgeon had to expand the urethra via increasingly larger devices inserted into the area. Painful, bloody and an experience I wouldn't wish on an enemy. I have had to self-catheterize on a daily basis to maintain the opening. Lately, it has become more difficult to insert the catheter and I plan to discuss this with him at my next appointment. The initial instructions were to use it everyday for a week, then every other day for a week, then occasionally. I've been doing it twice a day since Thanksgiving to make sure it stays open. There was also quite a build up of pressure associated with the blockage. You may mention it to your doctor as a precaution.
Diagnosed 8/24/06
Gleason 6
PSA 3.32
stage T1C
age 48
daVinci on 10/20/06
"Never miss a good chance to listen."

Veteran Member

Date Joined May 2006
Total Posts : 2542
   Posted 12/15/2006 11:59 PM (GMT -6)   

Hey Linda & Bob,


Have you considered fatigue playing a role, especially later in the evening after having urinated many times throughout the course of the day? 

Is he overdoing “kegel” and other exercises?

The sphincter muscle gets tired from over use and this may be the problem.

Just our thoughts….  Let us know what you find out!


In Friendship ~ Lee & Buddy

mama bluebird - Lee & Buddy… 53 on surgery day

RRP / Radical Retropubic Prostatectomy with "wide excision"

April 3, 2006   PSA 4.6   Gleason  3+3=6  T2a  

Confined to Prostate   June 29th ~ PSA Less than 0.1 Non-detectable

M. Kat
Veteran Member

Date Joined Jul 2006
Total Posts : 715
   Posted 12/16/2006 3:25 PM (GMT -6)   
Linda and Bob, I would definitely discuss this with your doctor. dawgfan, I'm sorry to hear about your problem. ugh! re: the ED issue, see my post at the Vacuum Erection Device Recommendations thread. we just got a pump and it's been interesting....
Husband Jeff 56 years old diagnosed July 27, 2006
PSA 6.5, 2 positive areas in biopsy, Gleason 3+3=6
Radical Retropubic Prostatectomy August 30, 2006
pathology report - all clear - cancer gone
1st post-surgery PSA test 0.1
no more pads Oct 12, 2006
2nd post-surgery PSA test 0.1

Post Edited (M. Kat) : 12/16/2006 1:32:43 PM (GMT-7)

Regular Member

Date Joined Jul 2006
Total Posts : 40
   Posted 12/18/2006 8:59 AM (GMT -6)   

Linda and Bob,

I had the same problem.  At 6 weeks post-surgery, the back pressure had become quite painful, the penis swelled with the pressure when I urinated, the stream was very small and it went in all sorts of directions.  The term the doctor used (and that I looked up on the iternet) was a urethral stricture.  It can be caused by scar tissure or irritation and mine was very near the end of the urethra (I could tell by the feeling of backpressure eminating from that point.

The surgeon actually cleared it in a sugery center (15 minutes under anesthesia) and it helped immensely.  However, seven weeks later, it came back.

This time, he was concerned that the stricture was further up the urethra (it wasn't) and used a probe to check (yup, that hurt).  This time, he also used 4 increasingly-large probes to tear it up (hurt even more when he did it, but the pain was gone immediately when he was done).  There was a bit of blood, but immediate relief.  Also, this time he provide a plastic urethral dilator that I am to use twice a day for a few weeks to keep it open until it is entirely healed.  Luckily the dilator doesn't hurt at all.

Anyway, from your description, it some like Bob may have something very similar.  Easy to fix and only momentary pain.


Biopsy June 21, 2006
PSA 6.1, Gleason 3+3=6 in 4 of 12 cores
Radical Robotic Prostatectomy September 13, 2006
1st post-surgery PSA on October 19 = 0

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