Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Prostate Cancer (Expert Forum)
Another Post-DaVinci Question
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Lefrak Institute for Robotic Surgery and Prostate Cancer
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis , Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
Another Post-DaVinci Question
by Sharnova, Sep 08, 2007 09:25AM
My husband had the DaVinci procedure on June 19. He had a Gleason score of 6 and the doctor said he spared both nerves and all the cancer seems to be gone. Prior to the surgery he had no difficulty whatsoever achieving an erection at age 65 and, though he urinated with great frequency because of an enlarged prostate, was totally continent..
Now, although he does get signals that he has to urinate and does so frequently during the day, he still has to wear a Depends, especially if he's going to walk any distance. He goes through about three a day. And he has not been able to achieve even a glimmer of any erection.
Is this normal after almost three months? At what point should we consider seeing a urologist who specializes in impotency?
Now, although he does get signals that he has to urinate and does so frequently during the day, he still has to wear a Depends, especially if he's going to walk any distance. He goes through about three a day. And he has not been able to achieve even a glimmer of any erection.
Is this normal after almost three months? At what point should we consider seeing a urologist who specializes in impotency?
Doctor's Answer
by Ash Tewari, MD, M.Ch., Sep 10, 2007 04:17PM
, Sep 10, 2007 04:17PMTo: Sharnova
Hello Madam,
Post-prostatectomy incontinence is a considerable problem, depending on the surgical technique your surgeon employed it depends on how long it takes for continence to return. We have noticed that with our new techniques, we achieve about 85% continence at 3 month follow up, and that rate continues to increase until about one year. An important step not to omit is the KEGEL EXERCISES! They have been shown to improve continence early, doing 10 sets of 10 holding each exercise for approximately 5 seconds until incontinence has improved should be attempted.
Sexual function takes a while to recover, in most scenarios it is reported for 9 months to 12 months, however these statistics vary widely. After 3 months, you might consider seeing a sexual health specialist, is he taking any viagra after the procedure? For our robotic patients, we recommend viagra for 3 months after the case, half a tablet per day, what kind of regiment are you under?
Thanks!
Post-prostatectomy incontinence is a considerable problem, depending on the surgical technique your surgeon employed it depends on how long it takes for continence to return. We have noticed that with our new techniques, we achieve about 85% continence at 3 month follow up, and that rate continues to increase until about one year. An important step not to omit is the KEGEL EXERCISES! They have been shown to improve continence early, doing 10 sets of 10 holding each exercise for approximately 5 seconds until incontinence has improved should be attempted.
Sexual function takes a while to recover, in most scenarios it is reported for 9 months to 12 months, however these statistics vary widely. After 3 months, you might consider seeing a sexual health specialist, is he taking any viagra after the procedure? For our robotic patients, we recommend viagra for 3 months after the case, half a tablet per day, what kind of regiment are you under?
Thanks!
Member Comments (2)
by Sharnova, Sep 10, 2007 04:33PM
To: Ash Tewari
Thank you very much, Dr. Tewari. My husand did try Viagra with no result, but he only tried it once. I didn't want to try again too soon for fear it would be discouraging to him.. Perhaps it's time to try again. And yes, he is doing the Kegel.
