Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
140 Doctors are Online
Ask a Urologist   »  

Had a Robotic Prosectomy. Problem in erection, swollen penis. Practice masturbation, strong sex drive, having orgasm. Suggest?

DOCTOR OF THE MONTH - Jul 2016
Jul 2016
User rating for this question
Very Good
Answered by

Urologist
Practicing since : 1971
Answered : 9439 Questions
Question
I am 61 years old had a Robotic Prosectomy 2 years ago had promise of developing an erection however as time goes on progress has increasingly waned. Do I give up all hope of ever attaining one ever again. I am in very good physical shape work out every morning and practice masturbation every other day. Sex drive is strong and I achieve orgasm even with a slightly swollen penis.

Posted Thu, 16 May 2013 in Urinary and Bladder Problems
 
 
Answered by Dr. P. T. Patil 32 minutes later
Hello
Thanks for your query.Based on the facts that you have posted it appears that you have undergone Robotic Radical Prostectomy for cancer of prostate 2 years back and now facing problem of Erectile Dysfunction.

During any radical surgery for cancer prostate there is possibility of injury to the nerve plexus in the vicinity of prostate which are involved in process of erection. In majority of cases this injury to the nerve plexus is transient and gets resolved by regeneration of nerves over a period of year or so resulting into getting normal erection.

But in some cases it does not happen so and leads to Erectile Dysfunction.

Please consult qualified Urologist and explore the possibility of trial of medicine like Phospho Diesterase inhibitors (Sildenaphil) or putting Penile Prosthesis.(Penile Implant) so that you can enjoy your sexual life,

Hope I have answered your query.
Please feel free to ask if you have any more questions I shall be happy to help you.
Thanks with Regards.
Dr.Patil..


Above answer was peer-reviewed by
 
Follow-up: Had a Robotic Prosectomy. Problem in erection, swollen penis. Practice masturbation, strong sex drive, having orgasm. Suggest? 5 hours later
I understand there are medications to help, I have tried Cialus, Viagra, and Levitra which in the first year seemed to very mildly work. However in the last year results seem to have waned. My question is do you think that there ANY hope in the years to come for any regeneration or even semi erection other than using injections or implants. I can't believe I am in the physical shape that I am yet I can't exercise or rejuvenate this muscle group.
 
 
Answered by Dr. P. T. Patil 8 hours later
Hello
Thanks for follow up.
Since there is improvement in getting erection even after years of surgery there are less chances of regeneration and getting normal erection

The drugs which tend to improve erectile Dysfunction have their action on vascular component of erection and not on nervous component of erection.

The only option left is to put Penile Prosthesis (Implant).
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Follow-up: Had a Robotic Prosectomy. Problem in erection, swollen penis. Practice masturbation, strong sex drive, having orgasm. Suggest? 13 hours later
One more question and it may be related to the erection problem. I have recently had some back or sciatica problems which were resolved by epidural injections. Months prior to the problems however I noticed I would cramp once in a while as well as get a strain pain on my inner thigh. I also noticed that I was losing strength in the same leg I am wondering if all of this could be circulatory in that my ability to attain an erection during this same time diminished.
 
 
Answered by Dr. P. T. Patil 18 minutes later
Hello
Thanks for writing again. Problem of erectile dysfunction can not be due to sciatica.It is definitely secondary to robotic radical prostatectomy.
Thanks and Regards.
Dr.Patil.
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Treatment/Therapy
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask a Urologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor