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User
Posted 27 Dec 2021 at 18:44

Hi.

I've been using this forum for a while now. It was really useful prior to my op (Da vinci, 05/11/21) and since.

My incontinence hasn't been as bad as I feared it would be, urgency is the worst part but so long as I've access to a loo or emergency bottle I'm holding it in pretty well.

I would happily take incontinence over ED and that's my concern now. I'm taking event doses of Sildenafil 3 times a week and got a pump. I was never blessed penis size but would say I've lost 2inch easy, and it now resembles a button mushroom, probably could be classed as a micro penis. The pump makes it swell a bit but that's about it. I know its early days and I shouldn't worry but I do and I don't suppose that helps. Had a very healthy sex life prior to the op and fear this is it. While the Mrs is understanding and sympathetic I'm thinking I'm an alpha male that can't provide.

Like I say, I've read up on here and know it can take months, years even to get back some rembalance of pre op so do I wait and see or get some help from ED clinic or even a shrink?

Grateful for any thoughts or advice.

Thanks.

Nick

User
Posted 27 Dec 2021 at 20:06

Commiserate  with you and where you are coming from but it takes time, patience and some work. Be aware too that HT/RT can also result in loss of penal length and to a lesser extent girth. Men are not always told about these things prior to treatment which is wrong. I think every partner worth their salt would be understanding, particularly with a man in his sixties. That is not to say that men who are able may well enjoy full intercourse well beyond this age albeit not the same as before.

Edited by member 27 Dec 2021 at 23:45  | Reason: Not specified

Barry
User
Posted 27 Dec 2021 at 20:18

Hi,

I had my RALP on 08/11/19 so you're where I was two years ago.

Quite frankly I found the ED side of things really difficult and depressing so I know exactly where you are coming from. I was prescribed tadalafil rather than sildenafil, but either way, it didn't make anything happen in the early days, probably because nerve bundles suffer bruising during the operation. 

Sounds daft, and it may not be your cup of tea, but I opted for counselling. Talking helped me get my head around things and accept my situation. I found that feeling down just made things worse and was no good for my wellbeing. 

Apart from that, I think it's important to try and keep the intimacy going, even though the thought of it may not be appealing. Your Mrs, as you say, is understanding so that's a great place to be so keep trying. 

Also, it's well worth seeing an ED specialist if you can.

Good luck.

Kev.

 

Edited by member 27 Dec 2021 at 20:21  | Reason: Typo

User
Posted 27 Dec 2021 at 20:43

Thanks Barry.

Like I say, am concerned I'll be unable to achieve intercourse in any form let alone like before.

Watch this space I guess.

Cheers.

User
Posted 27 Dec 2021 at 20:45

Kev,

Thank you too. Counselling may well be an option, it's good to talk,  but I guess it's still early days yet.

Will keep this thread posted.

Cheers.

User
Posted 27 Dec 2021 at 21:03
I suspect that you wouldn't really take incontinence over ED - leaking urine during foreplay or oral sex is very off-putting and leaking during penetrative sex with a woman can make her quite sore.

Need to clarify whether your pump is a proper NHS issued one? If so, it sounds like you don't have the right technique yet.

Far too early to be thinking about counselling - 7 weeks post-op, what is there to talk about apart from that you are 7 weeks post-op and don't know whether you have a problem.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 27 Dec 2021 at 23:15

Penetrative sex is more of a big deal for men than it is for women. If you finish up in a position where it's no longer possible you should probably explore alternative ways of pleasing both your partner and yourself. There's plenty of options.

Jules

User
Posted 28 Dec 2021 at 06:27
You need to give yourself a break, you are worrying way to early.

Set your expectations a lot lower for now and focus on your partner's pleasure.

Hopefully you will get some semblance of a normal response eventually. But if you fret about it you are garuanteed to fail.

User
Posted 28 Dec 2021 at 15:46

I wouldn't agree that seven weeks is too early to try counselling, since it helps the emotions arising from whatever is going on physically and how for example you might be able to speak with your partner about what 's happening for you, what it feels like and what you can share intimately, especially when any of this feels could easily feel quite embarrassing....   Interestingly it can bring you closer managing to share this troublesome stuff together. 

When i was first diagnosed with prostate cancer I had a real emotional reaction, was reluctant to speak to people about it (since i didn't know whether it was serious or not) and became very constipated. I was shutting down emotionally and shutting down physically. Once i could see that I needed to address the emotional side and open up about it, which i did, things started to change physically.  However i found it very difficult trying to have a conversation with the doctor or consultant about how mental health might affect physical health ! They just roll there eyes or say something like it's `just your age` or some bland unhelpful comment. I guess because it's outside their medical training. 

User
Posted 28 Dec 2021 at 15:51

Originally Posted by: Online Community Member
Also, it's well worth seeing an ED specialist if you can.

Best of luck with that. My andrology appointment is currently 13 months overdue. Its still worth asking for the appointment but don't make your expectations too high.

User
Posted 28 Dec 2021 at 16:54

Originally Posted by: Online Community Member

Originally Posted by: Online Community Member
Also, it's well worth seeing an ED specialist if you can.

Best of luck with that. My andrology appointment is currently 13 months overdue. 

That's terrible MM! 

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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