Just adding to your thread an article on an ED study indicating that "Aspirin were Found Effective for Erectile Dysfunction".

https://www.renalandurologynews.com/erectile-dysfunction-ed/aspirin-erectile-dysfunction/article/740011/

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I do not need to follow up every study you post. If you were doing journal research for a n institute you would be dismissed, because you are looking for research biased to your opinion, and failed to provide the particulars in the first study you quoted, making the quoted content appear to validate your opinion when it did not.

And... "20% report erections strong enough for intercourse at 5 years of follow up"... again ignoring variables in this study.

I have no interest in getting into an "I'm right and you're wrong" contest here. I acknowledge that one side effect is 100% of the time... penile shortening. I try to warn everyone who posts in this forum, and the urologists certainly do not inform patients of this side effect.

But for the sake of accuracy, they need the truth about the ED, and not wholesale condemnation of the RP procedure based on studies quoted out of context.

Hi All,

I thinks it's pretty common knowledge that if you get surgery either open or robotic you will have ED & leakage issues, usually within a 0-12 month recovery time they lessen, sometimes if the surgery goes bad you are left with permanent ED or leakage.

With radiation very few side effects during treatment with possible side effects later on(month to years) sometimes severe, sometimes not(damage from the radiation on un-intended targets).  People just need to be aware of the side effects and make your choice.  There is no wrong or right treament option, you need to pick one if you want the cancer gone and then realize that you could or will have some of these side effects.  Very simple guys, no magic here.  As people on this board that have gone through these treaments we should share our experiences and make sure people coming her for gudiance know the risks of any treament.  Again there is no right on wrong treament, surgery & radiation both have side effects.

My surgery was successful in removing my cancer(I hope,only time will tell) but I did walk away with a slight stress leakage issue which I am willing to live with as a consequence of my surgery.

Lets cut down on the personal attacks and help new people coming to this board gain from our experiences. A lot of these personal attacks accomplish nothing except making us look like immature adults.

Dave 3+4

MK1965 said:

More bad staff .....

Prostatectomy an ED - World journal of men’s health - Aug 2016; Capogrosso et all 

.....18 months after RP 60% of men reported an inability to get an erection, at 24 months it was 41.9%

( my underststing is with PDE 5 help, wondering about spontaneous, how low is that?)

MK

MK1965,

 Robotic nerve sparing techniques have a much better rate of success on ED.  Again that all depends on how involved the cancer was around the nerves.  I think this was from the same report that you sighted, August 2016:  "RARP(Robotic Assisted Radical Prostatectomies) series reported potency recovery rates of 32% to 68%, 50% to 86%, 54% to 90%, and 63% to 94% at 3, 6, 12, and 24 months after surgery, respectively .  Kinda of variable probably based on the amount of nerves vs involvement of the cancer in the study.  Just hope your on the high side of the stats..................

Dave 3+4

I find it disturbing that persons in this forum treat their 40-60 stats as a "Wheel of Fortune" where four slots are "permanent ED" and six slots are "ED recovery". 

With this mindset, a new patient goes into RP treatment believing he has a 40% chance of permanent ED. This is a ridiculous notion being created by taking research out of context and excluding variables that effect that research.

An informed patient will look at the variables that effected ANY outcome and try to minimize ANY risk, but you would have them only looking at the wheel of fortune as if it is simply a game of chance, or a crap shoot.

Here are three VARIABLES that are listed by WEBmd:

" The severity of the erectile dysfunction depends on the type of surgery, stage of cancer, and skill of the surgeon." 

It is further said that in NON-nerve sparing surgery the likelihood of recovery from ED is possible but extremely unlikely.

I cannot believe I am being castigated in this thread for demanding that VARIABLES be considered when assessing decisions for treatments. Would someone please explain to h&o that it is the variables that effect outcomes, and those variables must be considered to make an educated decision? Apparently I am not very good at explaining the self-evident.

Hi Grinder,

Sad to say but no two operations are the same, different tumor size, different patient complications all provide for different outcomes.  I would assume thats why the range in recovery rates, but I would think most people would agree that Robotic assisted surgery in the correct hands will give you better results than open surgery.  I was told the robotic surgeons moves are actually slowed down during the operation to give the surgeon more dexterity and precision. It just goes to prove that there are no guarantees for any surgery, any type of procedure.  Lot of variables need to be understood with the patient before the surgery takes place.  Even in easy surgeries things can go wrong due to unforseen complications. 

Dave 3+4

In my journey, I have been reading on this site and enjoy the factual side of RP vs RT.  I have spoke to both in my hometown.  I already posted what the RT person said.  The RP person told me that he had leakage on the way home after the catheter was removed.  He put another Depends on that night and in the morning no leakage.  He said he does have leakage if he strains while doing something physical.  He said he does get erections with the aid of cialis.  He was diagnosed 14 years ago at 56.  He is now 70.  He told me his PSA was 0.  Just based on reading on this site, there appears to be lots of approaches to treatment.  All appear to have side effects.  I do not claim to know nearly what some of you folks know on this site and I apprecaite your sharing information.  We share a common enemy.  There are a lot of human variables in these equations.  Some are attitude; physical shape; mindset; emotional support.  In most cases, hard to put a statistical value on the human side.  So you listen to the specialists and weigh what they say and move on.  I am in good spirits and at peace with my decision.  I am going to fly the RP plane 3/20/2018.  When I am done with this, I will post how I came out.  

Grinder said:

Sloppy science

I do not need to follow up every study you post. If you were doing journal research for a n institute you would be dismissed, because you are looking for research biased to your opinion, and failed to provide the particulars in the first study you quoted, making the quoted content appear to validate your opinion when it did not.

And... "20% report erections strong enough for intercourse at 5 years of follow up"... again ignoring variables in this study.

I have no interest in getting into an "I'm right and you're wrong" contest here. I acknowledge that one side effect is 100% of the time... penile shortening. I try to warn everyone who posts in this forum, and the urologists certainly do not inform patients of this side effect.

But for the sake of accuracy, they need the truth about the ED, and not wholesale condemnation of the RP procedure based on studies quoted out of context.

Another almost universal practice here at this forum when discussing the side-effects of RP is to never mention the side-effect of RT, as if they did not exist.

A major difference in RP vs RT for PCa is that in PR the side-effects occcur instantly, whereas with RT, they occur later, and gradually.   This undoubtedly makes data recovery of RT effects much less likely to be reported in statistical compilations.

max