Start of a New Journey

The general consensus here is that the RALP isn't the problem, the catheter is.

Hi,

Keep up your spirits as you start your rehab. After my Ralp I started with heavy leakage Depends and then moved to a light pad several months after that. Start doing your Kegal exercises every day and taking some form of Viagra to get the healing blood flowing. In my case it took several months of slow progress to get to the light pad. A deodorant like Lumi placed on your private parts areas can help with the odor. Just remember you went through big deal trauma to your private parts, it might take months to notice improvements as it was in my case. Due to what they had to do to remove your Prostate there is no set time frame to reach certain milestones for recovery. Everyone heals at a different rate, some faster, some slower.

Good luck

Dave 3+4

I had my RP in March 2018. I had done kegels prior to surgery and was given sildenafil (viagra) to, as the surgeon said, to fertilize the area prior to the surgery. I am pretty sure they remove the internal urinary sphincter. So we are left with an external one. If memory serves me correctly it took around 4 to 6 months for the incontinence to completely stop. The ED part was never really a problem and still is not. On another note, my PSA is pretty much undetectable. I also thought when is the peeing without control going to stop. I never let this slow me down. And it did stop. So give your body time to heal. Best of luck on your journey.

Like Lighterwood, at about the three month point I started seeing major improvement with my continence, from four to six months it improved steadily until it was no longer a problem. Be patient and follow the program and you will be fine.

Eric

BES58,

I had RP in 2015, including seminal vesicles. I was down to just pad after about a week or two following cath removal, and probably used a liner for a year or so, just for safety. Today, my continence is BETTER than prior to surgery, since BPH was causing bladder control issues anyway.....

Regarding potency, I used TRIMIX injections for sex after around one month post-surgery. It works, but did not have a very natural feel. Then, Cialis for about two years. Today, I have no ED and use no Cialis.

My case is not like some, but is pretty common today, for men whose RP involved NERVE Sparing. Your surgeon will tell you if he was able to spare the erectile nerves or not.

In short, recovery can take a little while or a long time, but most men in most situations eventually become continent again, and many if not most regain potency, or some variant thereof. I have had undetectable PSA tests annually since the surgery, and that is the best success of all,

max

Now 7 weeks out, and continence has been 0 issue, thank God, exercises, and good surgery technique.

Now the ED challenge...started on Cialis a week ago. The little guy (they cut off over an inch as you may know...didn't have much to spare LOL) hasn't responded much at all, though there is a bit of a twitch. Tried self-stimulation with very limited results. Patience is a virtue, but sure would like to see something more...