Nerve sparing not successful. Feel dejected

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User

Posted 27 Dec 2022 at 17:04

I had a nerve sparing prostatectomy in March this year. But the surgeon informed me a month later he couldn’t spare any of the nerves. Pretty depressing as that was the reason I went for the op rather than treatment. However I did understand the risks. I’ve tried injections and pumps but with zero results. I’m waiting to have a consultation with surgeon about having an op where the install a fluid container which you pump to get an erection.

fed up with the whole thing to be honest.
anyone had any experience with operation?

anyone know of any other potential help.

im happily married and used to enjoy a good sex life before this.

cheers

User

Posted 27 Dec 2022 at 19:45

Way too soon to be considering an implant.. have you asked why the injections are not working for you. Failing that a pump will work but again you need to understand how to use it effectively..

User

Posted 27 Dec 2022 at 20:00

There’s a member here who recently had an implant, but unfortunately I forget his name (can anyone help?). It was major surgery and the side-effects of it were pretty severe. It’s certainly not something to be undertaken lightly.

It’s way too soon to know whether or not all the nerves really are gone for good. It can take several years until you’ll know for sure.

Best wishes,

Chris

Edited by member 27 Dec 2022 at 20:01 | Reason: Not specified

User

Posted 27 Dec 2022 at 20:48

The injections don't work for everyone but you haven't stated whether you have tried all the different types of injection? Some men find Caverject doesn't work but Invicorp does; some men find the opposite. Also, have you been taught how to inject properly by an ED specialist nurse / doctor, or were you just given the prescription and left to work it out for yourself? If the ED nurse gave you the first injection, did that one work? Have you been escalated up the dosage under medical supervision? My dad has a special Caverject injection that is 10 x the normal dose.

Same questions for the pump - is it an NHS prescribed pump? If so, have you been taught to use it properly? When you pump, does your penis engorge at all? Or is it that the penis deflates when you remove the vacuum device?

Ulsterman is the member who has recently had a penile implant but he has found the results a little bit disappointing - https://community.prostatecanceruk.org/posts/t28232-At-last--my-penile-implant#post274387

Edited by member 27 Dec 2022 at 20:49 | Reason: Not specified

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

User

Posted 27 Dec 2022 at 21:16

Max, I was supposedly non nerve sparring, my surgeon told me he couldn't spare any nerves . As pointed out to me if I didn't have any nerves nothing would work naturally. A few weeks after surgery I was getting some stirrings in the penis, I did at one point get around a 70 percent swelling on odd occasions without any artificial help. Over eight years on I still get the odd surprise.

Stimulation is important, and for me stimulation helps with injections and muse pellets.

Would be interested to know what zero results means. It may be down to technique and preparation. Masturbation will aid recovery whether self service or assisted service.

Never give up try everything before going down the surgery route and above all have fun.

We mastered the technique of flaccid insertion.

Thanks Chris

Edited by member 27 Dec 2022 at 21:17 | Reason: Not specified

User

Posted 30 Dec 2022 at 12:02

I was in a similar situation 11 years ago and decided not to undergo any further surgery and decided to use a pump. We have been using the pump since my surgery with great success. The main problem with the pump is that it requires some 'learning' how to use it and as a couple you have to work out how to incorporate it in your love making - before or after foreplay? Although it can be very uncomfortable when you put the ring on I find that it is worth the effort to enjoy great sex. There are many benefits: Erections guaranteed for half an hour, the pleasure of seeing your penis as large as you want it (reminds me of my youth). The unintended benefit is that you do not ejaculate urine (most people following prostatectomy will leak and/or ejaculate urine) because of the ring. This makes it much easier for your wife/partner to give you oral sex.

'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.' Richard Feynman (1918-1988) Nobel Prize laureate

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