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No erection after radical prostatectomy

Posted 13 Feb 2020 at 22:45

I had my surgery 16 days ago. I have tried to get an erection. The only thing that happens is a slight tingle in my penis but my bladder empties. Not much fun. Where and when can I get a pump to try and stimulate my penis?

Posted 14 Feb 2020 at 00:57
Way to soon to be pumping anything. Just take it easy until your follow up appointment. Discuss rehab then.
Posted 14 Feb 2020 at 10:12

It was the same for me following my RARP. However 14 months on things are much better. 5mg of Tadalafil which I was prescribed for the first 3 months after the operation seemed to help me long term. 

Edited by member 14 Feb 2020 at 10:14  | Reason: Not specified

Posted 22 Aug 2020 at 10:52

How is it going now, six months down the line? My surgery was two weeks after yours, and I am beginning to get some hopeful signs....It has been a difficult journey though

Posted 22 Aug 2020 at 12:35
I am 2 years since surgery (Ralp) where I had about 30 to 40 percent nerve sparing. Like other guys have said don’t rush it - it’s a very slow and gradual healing process. Only after 18mths did I start to see any real action down below. I was doing ciallis and a pump and masturbation. BTw I could orgasm at 10mths but no real stiffness to the erection. I can now have penetrative sex and orgasms are excellent. Be patient and follow the advice of the doctors and nurses - this is a common experience.
Posted 31 Aug 2020 at 17:31
Its good to read about other mens experiences but its clear to me that we are all different.

Our bodies before the op. (I had ED)

Our operations (I had the full works)

Our surgeons (mine was good but aftercare less so, covid etc)

Its not surprising then that we all have different outcomes.

Im six months post prostatectomy. ED is total.

Pills and pumps failed.

Orgasm is possible but Im looking at other aids, non injection!

My question is does anyone have any suggestions about which sex aids are good, for both parties?

Posted 02 Sep 2020 at 16:29

Pumps can almost not fail to generate an erection. It may be that for sex, the mechanical procedure isn't for you, or pump or constriction rings were uncomfortable. Did you have a proper demo done on yourself? A proper demo by a clinician who knows how to use it doubles the chance of using it satisfactory when you get home. If yours is a SOMAerect model supplied on prescription or purchased via iMEDicare, they will demo it on you. At the moment because of COVID, this is via a videocall. iMEDicare also put together a new video at the beginning of COVID to cover some of what they cover in the in-person demos https://youtu.be/HJWCzzII1oI

Six months after the op is too soon to decide things have failed, because you could well still be recovering.

If you think it's unlikely PDE5 inhibitors will work (Viagra, Cialis, etc) because they require working nerves, in terms of drugs, that leaves the vasodilator drugs, mostly Alprostadil based. The most effective are the injections, but there are a couple of others you could try. Vitaros is a cream you spread on the glans or drip into the urethra (depending which type of dispenser you get), and MUSE is a pellet which is pushed up the urethra and dissolves. These don't work for everyone but are probably worth a try. Vitaros can be prescribed by your GP, but MUSE usually needs an ED clinic appointment to show you how to use it before your GP can prescribe it.

The final option you have is a penile implant, but these don't normally happen until at least 18 months after surgery, because you won't have given enough time to see what recovery you're going to get, and to go through all the other ED drug treatments first. Everyone I've talked with who's had an implant thinks they're fantastic. If you had some ED beforehand, you are likely to end up better off than you started.

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