Ahem, (shyly clears throat) mmm, What about penile shrinkage with surgery (esp. da Vinci)?

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naimnut
Regular Member


Date Joined Jan 2007
Total Posts : 93
   Posted 2/1/2007 5:12 AM (GMT -7)   
Of course, I'm shy to ask. But yesterday for the first time, the local urologist who uses the da Vinci robot brought it up.  I think I read somewhere that it is a couple of centimeters.  Doesn't sound like much, but heck, an inch is about two and a half centimeters.  So this is kind of intimidating.
 
Can anyone share there experience?  How much does it shrink and how does it affect everything?  Or, is this the least of my worries? (first worry being surviving cancer, second being continence, third ED...you get the idea) sad
Thanks,
 
Markus
Age, 53
PSA 3.76, Gleason 6, T1c, scans negative
psa doubling time 35 months
Still researching and deciding treatment options.  Leaning towards da vinci robotic.


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 2/1/2007 6:24 AM (GMT -7)   
naimnut,

This topic has come up before on this forum. My personal experience is that the shrinkage is minimum if at all. If you look at some of the videos of the Da Vinci surgery you will see that once the prostate is removed the bladder neck is pulled down to attach to the uretha and the end of the uretha that it is attached to is connected to other tissue. There has been some unfounded belief that it is the other way. One thing that will surprise you is that with the catheter in the penis shirnks up a lot. Then when the catheter is removed it stays that way for a while. When I began using the vacuum pump for penile rehab I got all of my relaxed length and girth back so you might want to consider a vacuum pump. From a worry standpoint this falls miles behind being cured of the cancer. It will not effect your performance once you get passed the ED from the surgery. I am three months passed surgery and still have the ED. My surgeon tells me that he would expect me to return to normal erections within 8 months to a year after the surgery.

Tamu
Diagnosed 7/6/06
1 of 10 core samples, 40%
Stage T1c, Gleason 3+3
Da Vinci on 11/01/06
Catheter out on 11/13/06
56 Years Old
Post Op Path
Gleason 3+3
Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 2/1/2007 8:22 AM (GMT -7)   
Tamu,

I do hope your surgeon was more clear when he claimed you'd be having normal erections in 8 months. You may have erection capability in 8 months...maybe you can be one of the fraction of a percent.... but he is really setting men up for disapointment if he's telling men they will have normal erections. Not to be a negative nellie Tamu.....but please expect a new normal.... which is just as wonderful considering you are a package deal :>) I'm certaily not complaining over here!!!

Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 2/1/2007 11:03 AM (GMT -7)   

Well Guys,

Its been a long 3 1/2 years since I've been normal! My good docs never told me anything about penile rehab, just wrote me a perscription and sent me on my way! I first I heard anout pumps or shots was last November when I wrote on this forum. So if you want to know about shinkage, talk to Mr. Shrunk! Unfortunatly for me as a lot of you that have read any of my posts, I went into a pretty deep depression were there was no sex and no taking care of biz myself because I had zip in the libido department. It got real bad. I've read about atrafee?? how do you spell that?? and it has scared me pretty bad, scare tissue? I'm really trying to make a come back but I'll never come close to what I used to have. I haven't got a pump yet but I think I will, maybe there's still hope for Jr. yet?? Hey Sweety, if you read this, my BD is coming up! I can get a pretty good erection and lucky for me, my wife has never said anything about how little or cute it is yet as its at least an inch shorter and not near as big around as it used to be. And what they say about guys with big feet is NOT true, I wear size 15 and it sure dosn't match my feet! Never did! So you guys who are just starting out like Tamu, keep working on that little bugger, you don't want to wind up like me!

Your friend,

 shrunk & stumpy,

I mean, Pete

 


53 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg.  


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 2/1/2007 12:06 PM (GMT -7)   
Pete,

I for one, am pretty darned satisfied with a healthy man with a desire to jump my bones...of course I think it should the one I'm married to ..LOL!

PS Pete...have yer Doc do an estrodiol yet? I'm curious. You mentioned some things about going a little backwards from before and that got my mind to wondering.

Pete trips again!
Veteran Member


Date Joined Nov 2006
Total Posts : 1899
   Posted 2/1/2007 4:48 PM (GMT -7)   
Hi Swim,
Thanks for building my confidence up. I think my wife feels the same way, at least I hope so! I did ask my new Uro about the estrodiol the last time I saw him, I even wrote it down so I wouln't forget the name. His answer was, "you don't have to worry about that!" I would have pushed the issue but it was only my second apointment w/ him. I didn't want to piss him off and have him cut off my T just when I was starting to feel better. But next time I'll definitly have my ducks in a row as I don't feel as good as I thought I would by now. Maybe if you have a little time,(I know your a busy lady) You can point me in the right direction to research it a little, any tests or docs names? Anyway life goes on. Its sure nice to finally have a little cool weather here. It finally broke 50 degrees here the other night! 48 I think, but was back to 70 by mid day. Biker Jim sounds like he's having the low T blues in his post. I know with his stats there is no way he can take it but do you have any suggestions for him? Maybe vitamins or something? God, I know how he feels having been there not too long ago. Poor guy, I'm going to say a special prayer for him tonight! Anyhow, thats all I have right now. Hope all is well up in the northland w/ you & my T/PC-brother Paul.
Your Friend,
Stumpy but healthy Pete!
53 years old, Surgury, Radical Prostatectomy 8/20/03, PSA 6.6, Gleason 3 + 3 = 6, Adenocarcinoma extent (moderate) Stage & Margin:T2NOMX, No Metastases, Organ Confined, bone scan: Neg.  


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 2/1/2007 7:14 PM (GMT -7)   
Swim,

To clarify my surgeon did not suggest I would be back to normal erections in that timeframe. As you say, he just suggests that the evolution back to normal erections should start in that timeframe. Today I asked his PA about the evolving of erections and he said that by the second year after surgery that you can generally expect to have achieved all you are going to achieve back toward normal. From the standpoint of atrophy the PA said that if some type of intervention is not done in the first six months after surgery then atrophy is a concern. That is the reason that this university based medical center began a penile rehab program a year ago.

For you guys, listen to what Swimom is saying. There is so much more to the love and intimacy then the size of our penis. Good grief!!, If my wife really had an issue with the size of my penis she would have been gone a long time ago but she has been here for 30 years.

Tamu
Diagnosed 7/6/06
1 of 10 core samples, 40%
Stage T1c, Gleason 3+3
Da Vinci on 11/01/06
Catheter out on 11/13/06
56 Years Old
Post Op Path
Gleason 3+3
Approx. 5% of prostate involved
Prostate Confined, margins clear
Undetectable PSA on 12/18/06
No more pads as of 1/13/07


naimnut
Regular Member


Date Joined Jan 2007
Total Posts : 93
   Posted 2/1/2007 8:28 PM (GMT -7)   

Thank you all, so MUCH, for sharing.  It really helps to put things in perspective...

Markus


Age, 53
PSA 3.76, Gleason 6, T1c, scans negative
psa doubling time 35 months
Still researching and deciding treatment options.  Leaning towards da vinci robotic.


StrictlyInc
Regular Member


Date Joined Dec 2006
Total Posts : 353
   Posted 2/2/2007 7:00 PM (GMT -7)   
2 years, yikes. Seems like an eternity. I'm at 6 months post-surgery.....
____________________
 
Prostate cancer diagnosed:  May 15, 2006 (age 40)
Gleason score:  3+3=6
daVinci radical prostatectomy:  July 25, 2006
size of tumor:  approx 1.1 inches
post-surgery Gleason score:  3+4=7; negative margins from surgery
number of pads/day at 3 months after surgery:  3 to 5
number of pads/day at 4 months after surgery:  1 to 2
first post-surgery PSA:  0
ongoing post-surgery treatment:  Cialis every other day, Viagra "on-demand", ErecAid pump daily Cialis every other day, ErecAid pump twice daily (when I can manage it)
 

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