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maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 782
   Posted 8/22/2007 10:31 PM (GMT -7)   
Don't know whether I am going nuts or what but my penis seems much smaller that it was before surgery, I know the area has been traumatised, but I can barely get him out past my fly when I pass urine, this was not the case before, researched this and read that sometimes the penile length decreases, and falls back into the space where the prostate was.
 
Not seeing my uro until 26th September, so I will ask him about it, hopefully when I am properly healed thing will normalise.
 
Regards Mal.
age 66 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7  right side tumour adenocarcinoma stage T2a
RP on 30th July,
Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck, free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.


IdahoSurvivor
Veteran Member


Date Joined Aug 2007
Total Posts : 1015
   Posted 8/22/2007 10:56 PM (GMT -7)   

Yep... I haven't taken measurements, but I have also read is hope on the horizon for restoration.

 

Some explanation of the shortness may be found here (http://www.doctor4men.com/faq.asp), I copied part of the text below:

 

DECREASE IN PENILE LENGTH

Q After recovering from my radical prostatectomy, I noted an obvious decrease in penile length. In selecting surgery over radiation, I had considered the possible side effects of impotence and incontinence, but not this other outcome. The surgeon says that he "pulled down" on the bladder neck to reconnect it with the urethra after excising the prostate, but it seems to me that the reconnection technique would also likely have a "pulling up" effect on the he urethra with an attendant effect on the external penis. How common is the situation I have described?

A - Shortening of the penis is more common than many surgeons admit to after radical prostatectomy (RP). I have had many patients tell me that their penis is shorter after RP. The reasons are not fully understood but I can think of two possibilities. First, the lower part of the incision for RP is close to the base of the penis and natural scar tissue with healing may "trap" more of the penis below the skin. Second, the re-hook-up of the urethra tube to the bladder may shorten the urethra and not allow the erect penis to be as long. Other possibilities are that the nerve supply to the penis is affected and general "tone"" of the penis is more flacid because it is not storing as much blood as before the operation. Despite this side effect, the benefit of RP as a curative treatment for early stage prostate cancer is becoming clear. The Johns Hopkins Hospital recently reported (JAMA, 281; 1591, 1999) results of almost 2000 men who had RP between 1982 and 1997. There was an 82% chance of 15-year survival free of metastases (spread).
Furthermore, as men are getting screened more, we are picking up early stage cancer that is easier to treat and the odds of side effects such as impotence; incontinence and penile shortening are less.

Hope this helps!
 
Idaho

Age: 54
PSA: 4.3
Biopsy: T1c, 3+3=6, 2 pos. samples in one side of prostate
Da Vinci 31 Jul 2007: saved nerve bundle on side of non-cancerous side
Final pathology: Confined to prostate, T2a, 3+3=6
Working to get back into good shape
Waiting to take that first post-op PSA

Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 8/23/2007 5:46 AM (GMT -7)   
 
  Shortening is a hypoxia issue, Try 3 things.
 
  Using a pump for rehab 4-5 days a week should help the situation.
 
  LArginine twice a day for those who can use it. (SANS Vasolow) Expensive but worth the          
  money.
 
  Viagra, Levitra or Cialis eveyday in a small dose.
 
 ***I've lost no length from surgery itself but, it wasn't without a fight.
        Would have done none of this except the Levitra without Vick having
        done most of the reading and coaxing. She faught, I won. Guess it
        would be best for me to give in and win every time from now on!
 
 ***Good to see so many on the road to recovery and hangin in there.
 
Paul
 


kdnole
Regular Member


Date Joined Jun 2007
Total Posts : 152
   Posted 8/23/2007 6:29 AM (GMT -7)   

Mal, thanks for bringing this up (no pun intended).

Not to make light of the situation but I keep telling my wife if this keeps up by the time I start surfing this winter I'm going to have a tail. tongue

I figured as much that it had to due with the shorting of the urethra after removing the prostrate. When can you start using the pump? I am less than 4 weeks out of surgery and waiting for my post psa and eventually radiation therapy.


Age 44
PSA 4.8
Gleason 3+3=6
T2
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke with in 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/08
Positive Pathology Report 
New Gleason 7
Left side near nerve bundle invloved
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales


Tamu
Veteran Member


Date Joined Oct 2006
Total Posts : 626
   Posted 8/23/2007 7:16 AM (GMT -7)   
Mal,

I had the same concern at about the same point after surgery that you are at. Once I started on the penile rehab using both Viagra and the pump my penis returned to normal length. There is a lot of healing going on in that area and it will take a couple of months before it all settles down. I started on the pump at about six weeks post surgery and was on daily Viagra three weeks after 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
Began injections in April '07
Undetectable PSA on 6/25/07


kdnole
Regular Member


Date Joined Jun 2007
Total Posts : 152
   Posted 8/23/2007 7:30 AM (GMT -7)   
Yea, I've been on Viagra 25mg since surgery with some self stimulation per Dr. orders unfortunately once it turned into a orgasm which hurt like hell. I guess the inside healing couldn't handle it. Needless to say not going to do that again for a while.    
Age 44
PSA 4.8
Gleason 3+3=6
T2
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke with in 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/08
Positive Pathology Report 
New Gleason 7
Left side near nerve bundle invloved
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales


puget
Regular Member


Date Joined Mar 2007
Total Posts : 237
   Posted 8/23/2007 9:28 AM (GMT -7)   
My dr warned that on average penis length is reduced by 1 cm as result of RRP.   I think Walsh mentions this, as well.  

Puget
60 years old
Dx March 2007
Pre-Surgery Gleason 3+3 = 6
Clinical Stage: T1c
Biopsy: 1 in 10 positive
Da Vinci: June 7, 2007 
Post-Surgery Gleason 3+3 = 6
   Clear at margins
First Post-PSA Sept 07


Swimom
Veteran Member


Date Joined Apr 2006
Total Posts : 1732
   Posted 8/23/2007 9:41 AM (GMT -7)   
 
 
Fellas,
 
There is a very good journal article on penile shrinkage......hope it helps
 
 

kdnole
Regular Member


Date Joined Jun 2007
Total Posts : 152
   Posted 8/23/2007 12:31 PM (GMT -7)   
Good article and hopefully it is temporary. I figured with the amount of stress that area has been put through it's still a bit scared.
Age 44
PSA 4.8
Gleason 3+3=6
T2
Da Vinci 7/31/07 @ Duke
2.5 hr. surgery, released from Duke with in 14 hrs.
Saved both nerve bundles. 
Foley out 8/10/08
Positive Pathology Report 
New Gleason 7
Left side near nerve bundle invloved
Oncology visit in the near future for radiation
Back to work 3 weeks following surgery - Sales


mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 8/23/2007 6:27 PM (GMT -7)   
Hi Guys. Would you not run and hide if someone pulled a sharp knife and got that close to you????

Mika-mvesr

gtmriviera
Regular Member


Date Joined May 2007
Total Posts : 338
   Posted 8/23/2007 6:34 PM (GMT -7)   
It's not how deep you fish, it's how you wiggle your worm.  It's an old joke, but so am I.

kw
Veteran Member


Date Joined Nov 2006
Total Posts : 883
   Posted 8/23/2007 6:39 PM (GMT -7)   
Hey....Mine "turtled" on me for quite some time. but I would have been hiding out too after being poked and prodded around! I would say I'm almost back to pre surgery leingth and my erections are starting to return on their own. Now if the leakin would just stop!!!!

Good Luck......KW
    43
    PSA 5.7 - Discovered during Annual Physical with Family Practice Dr.
    Gleason 7
    Biopsy - 3 of 12 positive (up to 75%) all on left side of prostate
    RRP on Oct. 17, 2006 - Nerves on right side saved.
    All Lab's clear.  No Cancer outside prostate
    Cathiter in for 3 weeks due to complications in healing. Removed Nov. 9, 2006
    First Post op PSA on Dec. 11, 2006  Undetectable 0.00
    Office visit on Jan. 19th due to continued excessive urine leakage.
    Feb.20th Cystoscope and 2nd Post Op PSA. Another 0.00.....:)
    Dr. said everything looks fine.  Continue to work Kegeal's. Leaking appears to have improved  after Cystoscope?!?!?!  Down to 3-4 pads per day!
    March 1st  Leaking has crept back up to 6 - 8 pads a day ??????? 
    March 8th Started Detrol LA to see if it helps with the leaking?
    March 29th Collagen injection into sphincter / bladder neck area to control excessive leaking.  Worked for a couple of days then back to leaking.
    April 17th (Six Months Post Op) 2nd Collagen Injection to control excessive leaking.  Leaking started back next day at work!
    May 14th Second Opinion about my leaking and Options at OU Medical Center.  After reviewing my records the Dr. feels I will probably need some surgical intervention to stop my leaking.  But did agree to try Bio-Feedback and work hard on the Kegeal's first!
    May 30th Follow up with my Dr. and 3rd Post Op PSA 0.00 agian!!!
    June 1st Start Bio-Feedback to try to control my leaking.
   

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