Can Nightly Viagra Restore Normal Erections?

I don't know, but I am a bit skeptical.

I guess the question is, suppose you don't take these and your erections return after a period, if you had taken them, would your erections return any faster? I can't think what the mechanism for such a change would be. This period is waiting for nerves to heal, and I'm not aware the PDE5 inhibitors have any effect on the erection nerves.

What they will do is help protect the erectile body of the penis (corpus cavernosum) in the absence of erections from atrophy by improving blood flow (when you don't have an erection). A pump does something similar, but works a different way, and they are probably quite complimentary to each other.

The low dose PDE5 inhibitors will probably help you have an erection when you have partial nerve repair too, just by virtue of being a low dose version of the event doses, but will this happen any sooner if you took them for months before they worked? I suspect not.

As I mentioned in another thread recently, Tadalafil is likely to be better than Sildenafil for daily low dosing because it lasts 36 hours in your body, versus only around 4 hours for Sildenafil. However, because Sildenafil is much cheaper, you may be directed to take that.

That was my expectation from the short time it stays in your body. What I'm not clear on is why low dose sildenafil tablets are produced.

Thanks for replies Lyn and Andy

I tried Tadalafil/Cialis about a year ago and it didn't work for me at all. Perhaps I didn't take it long enough but Sildenafil by then was working fine.

I read the European study from 2013, that was why I wondered if there was any other information, especially follow up ones from the two initial studies done in US.

I will speak to my doctor and see what he thinks of me trying Tadalafil for longer or actually trying the nightly Sildenafil, always wanted to be a guinea pig ☺. Know it will cost quite a bit but if he thinks it will do no harm then what the heck. 

Cheers Mike

Thanks for all the replies and advise, I thought I would point out I had HDR brachytheraphy plus 6 weeks of EBRT, not surgery.

My problem I am told is, due to my staging and the extensive area, 70% of prostate, prostate shell and possibly one lymph node, the follow up EBRT target area was very wide. This has meant a worsening outlook for radiation prostatitis, bladder fibrosis, both of which have already appeared in a mild form.

I can't complain, I feel fine in myself, working and active but we are looking at taking time out for ourselves, including possibly moving somewhere warmer for the winters being medication free would, if possible, be brilliant.

We currently are fine with using Sildenafil when needed, but it needs an hour and results in mild nasal congestion. I would love to not need this and I know my condition has improved dramatically over the last 18 months, but it is still very hit and miss.

Will talk to my doctor and niece, she is a consultant in geriatrics which includes prostate cancer, and see what they advise and I will try other PDE5 drugs, but still interested in whether the 12 month course works, especially after PCa.

Mike

Thanks for suggestion Chris and francij1, its the spontaneous bit that I am worried about, not keeping it once erect. Will give it a try though, might be "fun" especially as I bought a couple of the Durex ones a while ago and never tried them.

Spoke to niece last night about the nightly idea. She reckons there might be some benefit in protecting the blood vessel lining and promoting the softening/flexibility of these walls, which would allow improved blood flow and possible improve, restore or prolong healthy function of the penis. She was very adamant though that in no way would it improve damaged nerves, especially after surgery, these would have to resolve themselves over time. Nor would there likely be prevention of long term damage caused by radiation, though it may possibly delay this. 

Her advise is like yours though, try using Tadalafil, Lavitra or Cialis, even try Cialis daily before trying the Sildenafil on a nightly basis, though there is no evidence that this will do any harm, but also no evidence it will do any good either.

Lyn, like your husband has found, I tried sildenafil before bed last couple of nights and woke up early and very erect both times, shame as wife is not a morning person. So perhaps I am not leaving it long enough (about 1-2 hours) between taking tablet and reaction to it. Will experiment with timing, but this just makes the spontaneous bit even worse.

Cheers

Mike