Penis Rehab after Prostatectomy

EJ73 · January 5

The most recent posts I could find on this topic are ten-plus years old, so I thought I’d start a new thread.

I am 6 weeks post-surgery. Fortunately, incontinence has been minimal. “Penis Rehabilitation “ (I know, I thought it was a hilarious term, too, but it’s quite serious) was recommended for sexual health.

A penis pump from Timm Medical was recommenced at the cost of about $200. to stimulate blood flow. Also, daily Cialis was prescribed and Viafra (generics) for sexual activity. I am 72. We had been sexually active and would like to continue this aspect of our life. Medicare of course will not cover ED drugs, but with GoodRx, I was able to find a fairly reasonable cost.

What is the experience of others with this rehab and specifically with a pump? I am otherwise in good health and physically active. Thanks!

jc5549 · January 6

You can purchase the pump on Amazon for $30-$100 depending on whether you have a manual pump or electric pump motor. The pump allows you to maintain length girth while you’re waiting for your erectile function to return.

I started on daily Cialis 5 mg, however, after reading the paper below, I requested my regimen be changed to Viagra 100 mg daily. That’s not a type error, it is the full dose, daily. Like you, I used GoodRx and found it very affordable. Cost Plus Drugs, Mark Cuban site, sent me 90 pills for approximately $20 and change.

I recommend purchasing a pump and using it several minutes daily or every other day. The idea is to fill your penis with blood and prevent loss of length or girth due to lack of erections. I am 10 months out now starting to recover function. My erections are about 80% of what they used to be preoperatively.

I hope this helps, please feel free to ask any questions you might have.

jc

Penile, rehab post nerve sparing, prostatectomy, meta-analysis, 2020.pdf

EJ73 · January 10

https://csn.cancer.org/discussion/comment/1720037#Comment_1720037

Thanks. I just got my meds yesterday, going with the traditional dosages as recommended for now. Pump due to arrive today. I will give it a try. Have been able to achieve nearly full erection with self stimulation, but it is not hard enough (yet) for penetration. Hopeful!

jc5549 · January 10

Understood. Good luck with your recovery

Clevelandguy · January 10

https://csn.cancer.org/discussion/comment/1720157#Comment_1720157

Hi,

I wish I would have had a recovery @ 6weeks like you did, sounds like your doing OK. It took me about a year to get a useable erection. Hopefully the pump and the pills will get you there.

Dave 3+4

EJ73 · January 14

https://csn.cancer.org/discussion/comment/1720159#Comment_1720159

Thanks Dave! From all the reading I’ve done, I’m understanding that I have to be patient, and that following the protocol of using the pump and the meds as directed to stimulate return of blood flow and the nerve activity is necessary. I’ve now used the pump a few times, and it is rather remarkable how it makes the penis grow. Haven’t yet used the provided constriction rings, but those can be used to keep it engorged for penetration. Using the pump after taking a generic viagra is likely to yield something useful. 🙂

mbluth · January 14

I had prostatectomy 10/30/2024. I have been using cialis since surgery. Started with 5mg/day M-Sat 20 mg on Sunday. Now I am 20 mg MWF 5 mg every other day. I am supposed to see the doctor about injections next week. I can get an erection but not enough for penetration.

JackWest · January 15

So I should get a pump and use it how often? Love to hear your advice.

Thank you.

Old Salt · January 15

Don't just buy one; get the approval of your urologist first.

Penis Rehab after Prostatectomy

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