Erections after Prostate Surgery

There is more to sex than an erect penis. How do you maintain your sexuality both for yourself and for your partner? What techniques do you use to give both of you a great, satisfying sex life? How do you explore your own body and sexuality now that the rules have changed?
claytong
Posts: 2
Joined: Wed Oct 23, 2019 8:52 am

Erections after Prostate Surgery

Postby claytong » Sat Oct 26, 2019 10:23 am

I had prostate surgery 18 months ago and while all my readings have been good since then I have not been successful in having an erection. Prior to surgery I would have daily erections so needless to say not experiencing an erection is frustrating and concerning. I realize this is a common effect of this surgery but wondering if anyone in my circumstances could advise me as to their experiencings in having sex with their spouses. I have been using a pump for past year but find I cannot hold an erection long enough in the missionary position to give her an orgasm. The only way for me to get an orgasm is in the spooning position. My wife claims she cannot cum in this position so I am left to masturbate her to orgasm. While first this was just find we are now finding it somewhat less enjoyable. Shortly after my surgery we would have mutual masturbation but she doesn't want to do this anymore. I have tried the pills but they don't work. Can anyone give me some advice as to what to do. Thanks

Gordon
Posts: 155
Joined: Mon Dec 05, 2016 9:16 am
Location: Somewhere in Alabama

Re: Erections after Prostate Surgery

Postby Gordon » Sat Oct 26, 2019 10:48 am

Get some consultation on an implant. The longer you go without having an erection you will loose length and overall size. Get a good surgeon though. That is really important.
Married 64
AMS LGX 700 2/15/2017

Whodat
Posts: 115
Joined: Thu Aug 08, 2019 11:21 pm

Re: Erections after Prostate Surgery

Postby Whodat » Sat Oct 26, 2019 11:03 am

Might also discuss with your URO penile injection therapy. Three years after radiation treatment I have been doing injections as pills gave me headaches and very happy with injection therapy.
Age 80 good health. Radiation prostate 28 hits 4 years ago with 6 months of horrible ADT. Good recovery and ED worse.
Can't tolerate oral drugs but 5 years of Alprostadil 40mcg/ml 25 units is a miracle for 3 hours. GF is happy!!

Black57
Posts: 10
Joined: Sat Jun 29, 2019 12:03 pm

Re: Erections after Prostate Surgery

Postby Black57 » Sat Oct 26, 2019 11:16 am

I had a similar experience 2 years post prostatectomy no erection, tried everything even shots, hated them. Now 1 month post opp, implanted with an AMS 700 CX everything is great. It is very important to get the right doctor, I tried looking local and could never find a doctor that would answer my questions. I found a great doctor Andrew Kramer in Baltimore, look him up on YouTube he has hundreds of videos, after watching him I felt there was no where else to go, I had a great experience.

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bldoink
Posts: 3686
Joined: Mon Apr 03, 2017 12:58 am
Location: Fl.

Re: Erections after Prostate Surgery

Postby bldoink » Sun Oct 27, 2019 9:18 pm

Try injections. They work well for me. For most guys the injection is no big deal. Give them a try.
R.R.P 2011 Mayo Jacksonville, Dr. Michael Wehle. Nerve sparing - badly damaged. C in margin. V.E.D, Viagra and PGE-1 (80mcg/ml) injections @ ~ 14 units. Originally Edex20, then compounded PGE-1 - cost. Inject. 10+ yrs. It works. Treasure coast of FL.

oldbeek
Posts: 2454
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: Erections after Prostate Surgery

Postby oldbeek » Fri Dec 20, 2019 2:04 am

My dr sent me to a physical therapist that dealt with incontinence and penile rehab. She had me using a vac at 8 weeks daily and injections at least once a week. Pge -1 caused great amount of pain. My URO told me that all my nerves were removed ,I moved on to an implant 9 months after RP. How much of your nerves were saved?
82, good health, RP 7-2017, all nerves taken , PSA 0.05, 4-18,, .07 1/19,.05 4/19, .03 11-21, .04 11-23, implanted 4-1-18, Infra-pubic, AMS lgx 15 cm with 5cm rte. Implant at USC Keck. Dr Boyd and Dr Loh Doyle 6.5 x 5, 800 AUS 7-21-20

Reggieman
Posts: 228
Joined: Sat Jun 04, 2016 7:17 pm
Location: Central California

Re: Erections after Prostate Surgery

Postby Reggieman » Fri Dec 20, 2019 11:10 am

Had Radical Prostatectomy with bi-lateral nerve sparing DiVinci surgery in 2016. Never was able to get an erection after. Been using Bimix ever since with no problems so far. I found the vacuum pump painful and useless after trying pills (didn't work).
Retired. R.P. 2016. Bilateral nerve sparing surgery. Now use .15cc of Bimix twice weekly & anorgasmia, moderately incontinent. Wife no longer interested so go solo with Electro-stim using Erostek ET-312. Now am Type 2 diabetic.


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