50% nerve sparing

User

Posted 01 Jun 2025 at 21:38

Hi. It’s now 6 mths after my op. I only have 50% nerve sparing. Im taking viagra once a week to help with the blood flow as recommended. Anyone else going through this at this stage. And when can I expect to an erection. ? I’m 62.

User

Posted 02 Jun 2025 at 07:55

Hi. I was also 50% nerve sparing and am now just over 2 years post op. I use viagra and pump 2/3 times a week. I occasionally get a natural ‘sensation’ of something happening during the night or morning. If I woke my wife she’d take one look and say why have you woken me knee where it hurts and go back to sleep! However after taking viagra and with a bit of stimulation and intimacy I can achieve a semi enough to get the sensation and enjoy. The pump helps a lot but takes away the spontaneity and can ‘halt the flow’ so to speak. All in all it’s not the same but you develop different feelings and techniques. It’s like starting all over again. Be patient everyone is different and just enjoy what you can. It could be worse! Good luck.

User

Posted 02 Jun 2025 at 09:24

Hi Kevuk.

If all fails, mate. See if they'll send you to an erectile dysfunction clinic ask to be prescribed Invicorp injections. They couldn't prescribe me with Viagra due to a heart condition and I told them I didn't want to try pumps, so they went straight to real the hard stuff. 😁 Invicorp.

It worked! I've been using it for the past two years.

I had a non sparing op and was told I'd never have a natural erection again. I was gutted and felt completely emasculated. Invicorp saved the day. The bloke who invented it should be awarded the Nobel prize for medicine.

It breaks my heart hearing blokes on here who sound as down as I was about not being able to perform.

Here's a link that may help

https://community.prostatecanceruk.org/posts/t29845-Hooray-for-Invicorp

Edited by member 02 Jun 2025 at 09:26 | Reason: Typo

User

Posted 02 Jun 2025 at 22:21

Hi Kevuk,

I had surgery last February aged 61 which was also 50% nerve sparing.

Injections from about month 5-6 have worked well. Some care is needed, and it was unnerving the first time, but they have been successful and enabled something approaching normality.

I did try tadalfil which didn't quite do it, and I've used a pump for rehab for the last 12 months.

Recently sildenafil has been close to sufficient and am hoping this will improve in the next few months.

Everyone is different of course, but there are options out there which make a real difference.

Good luck.

User

Posted 04 Jun 2025 at 20:50

Hi Kevuk,

As others have said, everyone is different, but I'm surprised if you have been advised to take Viagra just once weekly. Firstly, Viagra only lasts for about 4 hours. Tadalafil (or 'Cialis' brand) lasts up to 36 hours. Under normal circumstances, the penis goes through several cycles of becoming erect during an 8 hour period of sleep. I take 5mg. of Tadalafil (by splitting the 20mg. tablet into 4 pieces) every night to help with blood flow to the penis whilst I'm asleep, trying to mimic the normal pattern of erections. If you are 6 months post-surgery, I would be asking for a vacuum pump as well and use this several times per week (some people use it every day) for rehabilitation (not just for sex). You may need your Urologist to make a referral to the Erectile Dysfunction Clinic at your hospital, who should then prescribe one.

Best wishes,

JedSee.

User

Posted 04 Jun 2025 at 21:12

Hi Jed.

I am also currently taking 5mg Tadalafil per day and have been prescribed a vacuum pump which I use every other day. I Am thinking of trying the injections, As a last result. Guess im being impatient lol. I was wondering what the experience of injections would be..

Kev

User

Posted 06 Jun 2025 at 22:14

I had semi nerve-sparing 2 years ago and neither Cialis or Viagra have any effect. However, a cheap pump from Lovelhoney and some tight rings almost get me hack to where i used to be. But of course, once the rings come off it all collapses.

So I've tried Invicorp and the results are much better. The first time it wouldn't go down so after 4 hours i took myseld to A&E (no time for embarrassment) and waved it at the doctor. Fortunately after about an hour in A&E it started to subside. Subsquently i've lowered the dose and not used a full syringe. It atill stays up for about 4 hours, and points downwards, but is neverless quite usable and about back to 80% of how things used to be.

I have subsequently been presribed Duoval, the preparation of which is more complicated so i'm awaiting an appointment with the ED nurse for instructions.

So despite the orignal prognosies of "no more sex after a radical prostectomy" things have got better in that respect. Luckily at age 78 the urge is much reduced anyway so it's livable with.

Unlike the incontinence, which even after 2 years still required a couple of grade 3 pads every day, with the potential fitting of an internal urethral sphyncter somewhere down the line.

Luckily PSA tests have all be "undetectable"

Good luck chaps, and never give up hope.

Edited by member 10 Jun 2025 at 22:31 | Reason: Not specified

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