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radical prostatectomy and 'penile shrinkage'



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William Parkinson
Posts: 62
Joined: Oct 2009
October 21, 2009 - 5:44pm

Hi everyone. I am wondering how bad the shrinkage is with radical prostatectomy. When they take out the prostate, they also take the urethra. Prostates are typically an inch or more in length (and thus so is the urethra they take out). They do lower the bladder down when they attach the bladder neck to the urethral 'stump', in order to lessen this problem, but many men still suffer from a loss of size right out of the box, so to speak. Also later on, in the aftermath of the surgery, the nerves are not functioning, thus muscle atrophy can occur, as well as hypoxia (low oxygen levels), due in part to lack of tumesence (engorement). Hypoxia, in turn, can lead to fibrosis. All of this can lead to shrinkage. The best way to ward this off (to the degreee it can) is the early use of some type of vacumn device. So, I am wondering how bad this effect can be. Has anyone had this problem and did you use the device or not and did it get better later on? Thx for the help in advance!
Cheers
Bill

lion1
Posts: 217
Joined: May 2007
October 21, 2009 - 5:47pm

Bill,
1 inch----------------never used a vacuum device.

Lion1

jemesj
Posts: 4
Joined: Sep 2005
November 6, 2009 - 8:51am

I had surgery Aug of 05, with shrinkage of more than an inch right after surgery.

I must say, I tried all the various pills that the doctor would prescribe for help with erections but the side effects were not good for me. So, I had to quite taking them. I have also used injections and at times have problems with it. I have used the vacuum device which seems to help but still cannot maintain a erection long enough to have any fun.

I still talk to the doctor about the problem, which I have taken several tests to see if I have other problems but none have been found.

Hoping to get some more help someday.

shubbysr's picture
shubbysr
Posts: 85
Joined: Jun 2009
October 22, 2009 - 2:23pm

Hey Bill,

While many of your comments are true, there are some differences.
the nerves are not functioning, Yes there is the chance of nerve interuption or damage but, over time this function returns.
muscle atrophy can occur, okay but, muscle tissue can regain strength
hypoxia (low oxygen levels), due in part to lack of tumesence (engorement) many of the ED meds (i.e. Cialis) help increase blood flow to this area, thus minimizing noted side effects.
All of this can lead to shrinkage. Gives a different meaning to "Bigger is better"

I am almost 6 months post DaVinci and I have had many of the same thoughts as you. Don't give up!

jim (shubbysr)

DRC
Posts: 3
Joined: Jan 2010
January 31, 2010 - 8:29am

I am 57 yrs old and almost 3 yrs post surgery and about 1.5 yrs post radiation. The shrinkage for me is considerable, approx 2+ inches. It did not happen right away and really only some “shape changing” happened after the surgery. The end curves down when erect due to uneven pulling of the salvaged nerves (according to doc).

The real shrinkage came after radiation (PSA went back up after 1 yr). Not sure if it was the radiation or delayed results from surgery.

I use the pump several times a week for 10 minutes alternating applying pressure and releasing to keep it from getting worse (recommendation from doc) but I do not use it for intimacy.

I still maintain a fairly satisfying intimate relationship with my wife thanks to Cialis (minimal side effects) but things are certainly different. This is a physical condition that makes be glad I have life long partner. I’d hate to be single and trying to impress the ladies with this going on! But the bottom line is that allthis is manageable and I wouldn’t (and didn’t) let knowing any of it sway making the right decision for treatment.

Good Luck!

gkoper's picture
gkoper
Posts: 171
Joined: Apr 2009
February 1, 2010 - 4:37pm

Since last May 21, I've had the Davinci & 37 radiation treatments. Although I've never used the "ruler" I guestimate I've lost at least an inch. I took a few viagra after surgery but didn't like the side effects...got a hi end vac pump and use it occasionally to promote flow. Hard to get used to the dry ejaculations....erections 30% less.
Good bladder control though & able to do all the other stuff I did before PCa.
Keeping the faith & moving forward.

Regards...