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User
Posted 01 Aug 2026 at 18:25

I had a robotic prostatectomy 12 months ago but I've not recovered full erections. I take daily Tadalafil and use the pump to achieve a functional erection. However in the past six months or so I've been increasingly 'randy' and my penis, both soft or hard, is sensitive and I gain pleasure from touch although I don't come to an orgasm. Has anyone else experience of increased sexual urges and randiness after similar treatment? It sounds fun but my wife doesn't understand my change in behaviour and is not sympathetic. 

User
Posted 02 Aug 2026 at 06:43

Hello, mate.

I'm no expert but I suspect there aren't that many blokes who following RARP have a libido surge. 

Initially, after surgery, I still felt as horny as before, but was devastated that I couldn't perform. Perhaps your increased libido is a  psychological thing, of wanting more of what you can't have? If you see what I mean. 

Weirdly, now penile injections enable me to perform, I don't feel as fruity. This is because by the time, I've warmed the wife up. Got out of bed. Got the drug out out of the fridge. Faffed around preparing the injection. Spent ten minutes massaging the injection site to get the desired rigidity. Then traipsed back up the stairs, she's usually fallen to sleep. 🙂

Edited by member 02 Aug 2026 at 06:45  | Reason: Typo

User
Posted 14 Sep 2026 at 20:37

Hi, mate.

No, I've not tried the pellets known as Muse However, from what I've read about them on here, they are generally not as effective as injections?

Edited by member 14 Sep 2026 at 20:38  | Reason: Typo

User
Posted 08 Oct 2026 at 15:11

Hiya Calluna,

I too have had a RARP (non-nerve saving) and my 'anniversary' is the end of this month.

Like Adrian I have always had the thoughts but no action! A bit like the DIYer with all the gear but no idea!!!

I have been taking tadalafil daily soon after my catheter was taken out. I was told by my ED nurse (female) to take an extra one or two tablets before wanting sex! It is difficult to explain to her that I would be on about 30 tablets a day if that was the case!

I can only assume she never read my notes properly, as I believe it is very rare for non-nerve saving to get the morning, or any sort, of glory.

However, recently I have felt a 'twinge' (a technical medical term) down below, that made me believe I was in the progress of getting an erection. The disappointing thing was, when quality control had a look at it, there was nothing to report!

This was both disappointing but also encouraging, as this is the most stiring in my loins that I have had in a year!

This has happened a few times and with a bit of encouragment I have managed a French Willy (Une Semi Ardon).

My ED nurse has finally booked me in for the injection clinic early next year, which Adrian has commended. But I am in the process of looking at getting a VED. Unfortunately my NHS area don't supply one free, but after me mentioning getting one, are quite keen for me to try!

Hopefully in the near future it will be onwards and upwards!!!!!!

 

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User
Posted 02 Aug 2026 at 06:43

Hello, mate.

I'm no expert but I suspect there aren't that many blokes who following RARP have a libido surge. 

Initially, after surgery, I still felt as horny as before, but was devastated that I couldn't perform. Perhaps your increased libido is a  psychological thing, of wanting more of what you can't have? If you see what I mean. 

Weirdly, now penile injections enable me to perform, I don't feel as fruity. This is because by the time, I've warmed the wife up. Got out of bed. Got the drug out out of the fridge. Faffed around preparing the injection. Spent ten minutes massaging the injection site to get the desired rigidity. Then traipsed back up the stairs, she's usually fallen to sleep. 🙂

Edited by member 02 Aug 2026 at 06:45  | Reason: Typo

User
Posted 02 Aug 2026 at 07:33
You need to go to the fridge in anticipation before warming her up, just saying!
User
Posted 02 Aug 2026 at 07:56

😂 There goes the voice of experience.

I have, in the past, prepared the injection first and left it on the bed side table, but I think she must have a needle phobia. Just the sight of the syringe brings on one of her blinding headaches. 🫤

User
Posted 04 Aug 2026 at 22:01

Hi msiyah,

I'm very grateful and interested in your well informed reply. You've given me and other guys here much to think about. Thank you.

User
Posted 14 Sep 2026 at 20:31

Adrian,

have you or anyone else tried Alprostadil pellets?

I have not as yet but it seems they are used by inserting one into the urethra and in 5 to 10 minutes with a little encouragement you are erect for 30 to 60 minutes.

It sounds promising.

I don't know if there are any drawbacks but maybe someone on here can help out with their experience?

Al

User
Posted 14 Sep 2026 at 20:37

Hi, mate.

No, I've not tried the pellets known as Muse However, from what I've read about them on here, they are generally not as effective as injections?

Edited by member 14 Sep 2026 at 20:38  | Reason: Typo

User
Posted 08 Oct 2026 at 15:11

Hiya Calluna,

I too have had a RARP (non-nerve saving) and my 'anniversary' is the end of this month.

Like Adrian I have always had the thoughts but no action! A bit like the DIYer with all the gear but no idea!!!

I have been taking tadalafil daily soon after my catheter was taken out. I was told by my ED nurse (female) to take an extra one or two tablets before wanting sex! It is difficult to explain to her that I would be on about 30 tablets a day if that was the case!

I can only assume she never read my notes properly, as I believe it is very rare for non-nerve saving to get the morning, or any sort, of glory.

However, recently I have felt a 'twinge' (a technical medical term) down below, that made me believe I was in the progress of getting an erection. The disappointing thing was, when quality control had a look at it, there was nothing to report!

This was both disappointing but also encouraging, as this is the most stiring in my loins that I have had in a year!

This has happened a few times and with a bit of encouragment I have managed a French Willy (Une Semi Ardon).

My ED nurse has finally booked me in for the injection clinic early next year, which Adrian has commended. But I am in the process of looking at getting a VED. Unfortunately my NHS area don't supply one free, but after me mentioning getting one, are quite keen for me to try!

Hopefully in the near future it will be onwards and upwards!!!!!!

 

User
Posted 09 Oct 2026 at 16:44
If you can get a semi it would be worth trying a cock ring....
 
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