After Robotic Prostate Surgery How long did you wait to get implant?

The final frontier. Deciding when, if and how.
marlow13
Posts: 71
Joined: Sun May 20, 2018 8:34 pm

After Robotic Prostate Surgery How long did you wait to get implant?

Postby marlow13 » Wed Aug 21, 2019 6:34 pm

Im almost 2 years out from having robotic prostate surgery. I guess my question i ado you think you waited to long to have the procedure and did it make the size of your penis worse after having the implant? Im scheduled for implant on September 6, 2019 and Im still just worried I'm not gonna be happy with the outcome. I want to have a realistic expectation from someone who's been through the same thing.
58 y/o PCA 18 on March 2017. Biopsy 8.6 Gleason. Diagnosed with Prostate Cancer June 2017. Robotic Prostectomy Aug 2017. .02 at Follow ups so far. Implanted on 9/6/19 with AMS 700 CX 21+2 RTE's by Dr.Dean Knoll Urology Associates Nashville, TN.

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

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby Gordon » Wed Aug 21, 2019 7:02 pm

I had surgery and then radiation treatments the next year and implant following year. . I was on quadmix injections before and after surgery. After radiation it wasn’t working as well and my dick started turtling up. Got implant and with in about 6 months cycling every day I regained most of my erect size back. Definitely a lot larger deflated than my pre surgery flaccid size. I’m enjoying the bulge.
Married 64
AMS LGX 700 2/15/2017

Bionic Richard
Posts: 69
Joined: Fri Jun 22, 2018 6:23 pm
Location: OKC, OK

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby Bionic Richard » Wed Aug 21, 2019 7:41 pm

I waited 14 months. I lost about 1/2 inch with the robotic assisted prostatectomy. When the prostate is removed a portion of the urethra is removed, possibly limiting the erection length. I did penile rehab as soon as Dr said I could. I did pills, VED, and injections. I gained the length lost back.
After implant of AMS 700 LGX and cycling twice or more a day
for about a year I have recovered back to the orginal length, but not orginal girth. All is great!
1957 model, married 27yr first time 6 yr present,10/16 Retired,12/16 PSA 4.9, 1/17 Biopsy, 2/17 Gleason 4+3, 3/17 Robotic Prostatectomy, 4/17 PSA nondecetable, Penile therapy, pills/VED/Trimix, 5/25/18 AMS 700 LGX 21cm 3cm RTE.

Lost Sheep
Posts: 6144
Joined: Mon Jul 04, 2016 11:16 pm

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby Lost Sheep » Wed Aug 21, 2019 7:45 pm

marlow13 wrote:Im almost 2 years out from having robotic prostate surgery. I guess my question i ado you think you waited to long to have the procedure and did it make the size of your penis worse after having the implant? Im scheduled for implant on September 6, 2019 and Im still just worried I'm not gonna be happy with the outcome. I want to have a realistic expectation from someone who's been through the same thing.

V.E.D. therapy has shown evidence of being able to keep penile tissues elastic, oxygenated (nocturnal erections generally take care of this) and original (or nearly original) size.

You do not have very long to go before implant, but a couple weeks of vacuum-induced erections couldn't hurt (provided you don't overdo the vacuum) and the most gains are in the early days. Usually a 60 day protocol is recommended.
Last edited by Lost Sheep on Wed Aug 21, 2019 8:12 pm, edited 1 time in total.
Lost Sheep
AMS LGX 18+3 Nov 6, 2017
Prostate Cancer 2023
READ OLD THREADS-ask better questions -better understand answers
Be part of your medical team
Document pre-op size-photos and written records
Pre-op VED therapy helps. Post-op is another matter

shooter1000
Posts: 276
Joined: Tue Apr 14, 2015 11:18 pm

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby shooter1000 » Wed Aug 21, 2019 8:00 pm

My experience has been very similar to Gordon's. After my LRP I was on tri mix for about 7 years. An aggressive return of my cancer led to 35 radiation treatments after which the shots got less and less effective. If I had it all to do over again. I would have had salvage radiation right after my surgery, and then straight to Kramer for an implant. I would have maintained my size and had a lot better sex for the entire time. I am thrilled with my implant and am the same size as I was pre surgery.
Age 75 Implanted by Dr. Andrew Kramer 03/22/2017. AMS 700 LGX 18 CM with 2 Cm RTE for a total of 20 CM. Previously used injections over 1000 no scarring

alibaba
Posts: 3027
Joined: Sun Oct 12, 2014 8:04 pm

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby alibaba » Wed Aug 21, 2019 8:10 pm

TOO LONG! Doctor Brandes and Kibel kept telling me it takes 2 years to recover. Wasted time. Total time wasted was 7 years. Later a doctor tells me 80% will need an implant by the 3rd year after exhausting all other efforts. I told Dr. Eid that I wish I had never had a prostatectomy. He told me I would have died a slow and painful death had I not.
LGX 21cm .Milam 01/13/16. Horror; both service and surgical outcome. hated infrapubic installation. Kramer revision 03/01/17. 22cm Titan +1.5cm extender. Those who think their opinion is the only one that matters are a danger to themselves and others.

Dave52
Posts: 206
Joined: Sat Oct 13, 2018 4:28 am

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby Dave52 » Wed Aug 21, 2019 9:43 pm

5 months I would have done it sooner if I could have gotten an appointment sooner. No loss of length gain in girth . You need a few months to heal but if you wait years it’s time lost that is gone forever.
Dave
Born 52
Prostatectomy 6/1/18
Viagra worked before RRP
Trimix painful Bimix both Ineffective
Titan 20CM 1CM RTE
10/26/18 Dr.Eid

SeaCapt
Posts: 33
Joined: Mon Aug 12, 2019 5:41 pm

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby SeaCapt » Wed Aug 21, 2019 10:35 pm

18 months after RARP for me. They spared one nerve bundle, and thought natural erections might come back, so that I should wait at least 12 months. A few outliers stated natural erections came back as late as 18 months, as nerves heal/regrow slowly. I had pretty much tried all and given up at 12 months, but due to my work and scheduling, 18 months is how it worked out for me. I am back to my post-cancer-surgery length and girth, and hope to gain a little extra towards pre-cancer size in the coming year.
56. RARP for prostate cancer in Feb. 17, then no-go with pills, injections, vacuum, so here I am. Titan 20cm by Dr. Eid on 8/6/19, cycling on Day 4, stitches out Day 14, sex with a grateful wife on Day 20. And 21, 22, 23, etc.

oldbeek
Posts: 2466
Joined: Sun Sep 10, 2017 1:46 pm
Location: Los Angeles area

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby oldbeek » Wed Aug 21, 2019 11:51 pm

9 months for me. Dr said he removed all my nerves. It was a no brainer.
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

MK1965
Posts: 625
Joined: Thu May 24, 2018 5:32 pm

Re: After Robotic Prostate Surgery How long did you wait to get implant?

Postby MK1965 » Thu Aug 22, 2019 7:15 am

I waited 22 months post RP.
Did everything possible to recover normal erectile function, Cialis, Viagra, VED, TRIMIX, BIMIX, all array of OTC supplements and nothing worked to be able to have penetrative sex. TRIMIX worked and was giving me 60-70% of pre RP erections but it was so painful that I couldn’t perform longer then 7-10 minutes. BIMIX was not painful but had no effect even at 0.5 ml or 50 units.
My RP was with bilateral nerve sparing but I had also limph nodes removed.
As the matter of fact, I did not experienced any sign of life in my penis for 22 months. After no success and no sign of life, at 20 months, I decided to get an implant which was done 9/5/18 at 22 months post prostate removal.
MK
IPP 9/5/18; TITAN OTR 18 +1cm RTE,Prostate Ca at 51 y/o; RARP 11/2/16, ED Post RP, Cialis, Viagra, VED,TRIMIX painful, BIMIX ineffective,lost 2+ inches of length after RP. Revision 12/2/20 by Dr Clavell, AMS 700 CX, L 21 R 21+1.5 RTE.


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