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Impact of further surgery

User
Posted 23 Dec 2022 at 12:46

Hi,

 

I had my RARP in July 21 . I made a quick recovery  from the surgery and the doctor supervised penile rehab went reasonably smoothly from pump plus 5mg daily Cialis plus occasional larger dose of Cialis or Viagra to just 5 mg daily Cialis by May this year. Then I found two hernias one near the umbilical port of the RARP and another older tiny one which had no mesh and which had popped out again 🙄. I had them repaired in early October and was told not to have any abdominal stress for 6 weeks. So in mid November I was clear and lo and behold ny erections seem to be back to July 21 - I.e. non existent . My doctor says that as my initial rehab progressed well I should just repeat the same process but I am wondering whether I could speed things up with injections. Any body else had this experience of regression after an unrelated surgery and if so how did you get back to the previous state? 

User
Posted 27 Dec 2022 at 01:12

Bumping this post incase it was missed by anyone who can help.

Dave

User
Posted 27 Dec 2022 at 09:41
Suspect it's mostly in your head if you have had some success since the first surgery.

Injections can help with the "head" aspect as well as the "willy" dept! This is because if you use them correctly and they work well they can guarantee erections long enough to get you back in the saddle.

Worth double checking the surgeon didn't damage anything with the repair op too.

User
Posted 27 Dec 2022 at 10:44

Originally Posted by: Online Community Member
Suspect it's mostly in your head

I searched when the post first came up, and found that ED is an issue that happens in a percentage of cases (saw figures between 5% and 15% mentioned). The cause doesn't seem to be known, as none of the nerves or blood vessels required for erections are near hernia sites, so several sites say it shouldn't happen, even though it clearly does. Sensory nerves to penis, scrotum and inner thighs are near hernia sites, as is blood supply to testicles, but nothing related to erections. I also couldn't find out if it gets better, and not knowing the cause, I can't even guess this. In the absence of any information, doing penile rehab as for post-prostatectomy would seem to be the best option.

Injections don't speed up healing, but it is important to have regular erections by some means or another to protect the tissues of the penis from permanent damage, and injections can play a part with this, as well as helping with the emotional side and enabling you to have sex too.

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User
Posted 27 Dec 2022 at 01:12

Bumping this post incase it was missed by anyone who can help.

Dave

User
Posted 27 Dec 2022 at 09:41
Suspect it's mostly in your head if you have had some success since the first surgery.

Injections can help with the "head" aspect as well as the "willy" dept! This is because if you use them correctly and they work well they can guarantee erections long enough to get you back in the saddle.

Worth double checking the surgeon didn't damage anything with the repair op too.

User
Posted 27 Dec 2022 at 10:44

Originally Posted by: Online Community Member
Suspect it's mostly in your head

I searched when the post first came up, and found that ED is an issue that happens in a percentage of cases (saw figures between 5% and 15% mentioned). The cause doesn't seem to be known, as none of the nerves or blood vessels required for erections are near hernia sites, so several sites say it shouldn't happen, even though it clearly does. Sensory nerves to penis, scrotum and inner thighs are near hernia sites, as is blood supply to testicles, but nothing related to erections. I also couldn't find out if it gets better, and not knowing the cause, I can't even guess this. In the absence of any information, doing penile rehab as for post-prostatectomy would seem to be the best option.

Injections don't speed up healing, but it is important to have regular erections by some means or another to protect the tissues of the penis from permanent damage, and injections can play a part with this, as well as helping with the emotional side and enabling you to have sex too.

 
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