Erection questions

User

Posted 30 Jun 2025 at 13:28

Hi all

New to this board despite reading on regular basis following RP in March of 2025 - nerve sparing surgery on right side only, had issues with bladder sutures so had catheter in for 12 weeks and been using ED pump with Viagra since July 24. Lost 1/2 inch in length and no erections achieved without mechanical intervention although even then penis will not stay upright from base even when hard.

I am after some help or insight please?

Firstly, despite not being able to sustain hard erection when using pump and tablets, I am getting very random almost full erections when lying down when I go to bed - these only last for about 20 seconds and as soon as my penis is moved or touched or I stand up they die away immediately though do sometimes come back for the same timeframe - anyone else had the same experience?

Secondly, before my operation I did have a slight penile fracture at base of left hand side and wonder if this is combining with the surgery to prolong my issues - when using ED pump with rings, penis goes hard but will not stay upright as appears to be no "strength" at base to maintain it upright; again any insight experience would be most welcome.

Many thanks

User

Posted 30 Jun 2025 at 22:23

Just to check - it sounds as if you had ED problems before having surgery. Or have I got the dates confused? Obviously it would be optimistic to expect recovery following surgery with only one side spared to restore better function than you started with.

But having said that, March 2025 is not that long ago. If you are getting erections already, even if brief, that seems pretty optimistic. From my own experience and those I have read here, it can easily take nine months or more to recover reasonable erectile function.

User

Posted 01 Jul 2025 at 04:56

Hi Ricky

Reading your bio it appears your RP was in Mar 2024? Prior to this you had a penile fracture. I'd never heard of that before, but having just researched it, found it to be quite a nasty injury. Did you receive any treatment for it? It sounds possible that it might be contributing to your erectile dysfunction.

On the brightside getting any sort of random erection after prostate surgery must be good news. I had none nerve sparing RARP over two years ago and have been unable to get any natural erections. Invicorp injections work though.

I definitely lost some length during the op, but Invicorp gives me erections that I suppose are about 80% as good as pre-op ones.

To get mine I went to an ED clinic and on their recommendation was prescribed the drug by my GP.

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

I don't know if your penile fracture is still causing issues and would preclude you from such treatment. I would get some medical advice. I'm not sure whether pumps would aid or cause further damage to your penis if you're still having side effects from the penile fracture.

Incidentally I've found the opposite to you regarding erections. When I'm lying down the Invicorp is much less.effective than when I'm standing up.

Good luck mate, and I hope 'things' start looking up. 😉

User

Posted 01 Jul 2025 at 07:20

Thanks to all responders, I probably overstated the fracture, it was damage to the "tube" which was seen by doctor - caused some leanage to the left when erect but doctor said should hopefully repair itself over time, then 5 months later had the operation.

The lying down bit sounds like it's different for everyone - I will keep the faith as I've just been told I'm getting option of injections in August so fingers crossed.

User

Posted 02 Jul 2025 at 06:24

Erections with a pump and ring will always droop because of the hinge effect caused by the construction ring and the fact it can't trap blood in the base of the penis.

Injections do not have that issue..

User

Posted 02 Jul 2025 at 11:21

Hi RickyC

The constricting ring at the base of the penis causes the 'hinge' effect so the erections will be different from those you had before surgery. It is a question of adapting how you make love - carefully! If you find that with a ring on your erections are not sustainable you should try using two rings, a small one at the base of the penis and a larger one on top. I have been doing this for a number of years with great success. Also any penile-length shortening as a result of prostatectomy can be overcome by regular use of a VED; I find that after many years of using VEDs my erections are now better than pre-surgery level!

Edited by member 02 Jul 2025 at 11:22 | Reason: Not specified

'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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User

Posted 30 Jun 2025 at 22:23

User

Posted 01 Jul 2025 at 00:15

Full nerve sparring, nearly three years on still in recovery. Everyone is different.

User

Posted 01 Jul 2025 at 04:56

Hi Ricky

I definitely lost some length during the op, but Invicorp gives me erections that I suppose are about 80% as good as pre-op ones.

To get mine I went to an ED clinic and on their recommendation was prescribed the drug by my GP.

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

Incidentally I've found the opposite to you regarding erections. When I'm lying down the Invicorp is much less.effective than when I'm standing up.

Good luck mate, and I hope 'things' start looking up. 😉

User

Posted 01 Jul 2025 at 07:20

The lying down bit sounds like it's different for everyone - I will keep the faith as I've just been told I'm getting option of injections in August so fingers crossed.

User

Posted 02 Jul 2025 at 06:24

Erections with a pump and ring will always droop because of the hinge effect caused by the construction ring and the fact it can't trap blood in the base of the penis.

Injections do not have that issue..

User

Posted 02 Jul 2025 at 11:21

Hi RickyC

Edited by member 02 Jul 2025 at 11:22 | Reason: Not specified

'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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