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I had my open RPP in March of ’08. I got my first starting erections 5 days later with the catheter still in. In the first three months they improved but only slowly.
I was going to be “the man” and get erections back without meds. Well finally my wife Kim said, “you have got to get something from the doctor”. She was frustrated too. Well he gave me Cialis and with just a 10mg dose I got full firm erections with ease. I was amazed. I am to the point I get 80% erections with no meds. I now take 10mg on Monday night and again on Friday night. My wife and I can now can be “intimate” in the bedroom at any time !! My orgasms are strong and every bit as pleasurable as pre op. Incontinence stopped in June and I now need no pads. No leakage even during sex and orgasm. I am a very blessed and fortunate man. I have included my record of my journey below:
1/08 Age 59, psa 4.7,
1/08 Biopsy, 13 cores taken. Cancer in 1% of one core.
Gleason Score 6
3/5/08 Radical Prostatectomy-Open Surgery, NE Georgia Medical Center, Gainesville Ga. Path report: Nerves spared.
3/7/08 Post Op Biopsy : No malignant cells in lymph node. Gleason 3=4=7. Tumor on both lobes. Urethral margins/apex free of neoplasia. Right and left seminal vesicles free of neoplasia. No invasion of prostatic capsule of the resection margins are noted by the tumor. Tumor occupies 10 to15% of the prostate gland. Path staging T2c, NO, MX- Group staging II. Focal areas of perineural invasion by tumor are noted.
3/17/08 Catheter out, Continence good.
6/10/08 PSA < 0.1
6/17/08 No pads needed
9/17/08 PSA < 0.1
First erection five days post op and have been improving well since then. 80% natural med free erections. Full erection now possible (less than four months post op) with the assistance of 10mg of Cialis.
9/22/08 Took 10mg Cialis, full very useable erections 1 hour, 10 hours and 60 hours later.
