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Prostate Cancer  (Expert Forum)
 | 
Post surgery therapy
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University 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.

Post surgery therapy

by alittletoyoung, Sep 25, 2009 10:37AM
I had my prostate removed on 9/8/09. Recovering very well. Doctor said he saved the nerves and prescribed ceilus. Is there any suggestions to help bring back an erection?? Should I be waiting? should I be working at?? Can I hurt my potential rehabilitation by pushing the issue. Only 52 and not ready to give up???    

by Ash Tewari, MD, M.Ch., Oct 03, 2009 11:28PM
To: alittletoyoung
Thank you for your question. As I have performed over 2000 prostatectomies, this situation is all too familiar. There have been many methods in describing penile rehabilitation after radical prostatectomy. This can include taking a PDE5 inhibitor regularly or a PGE1 penile suppository. The medicines will theoretically cause an increase in blood flow to the cavernosal tissue. I sometimes have patients take PDE5 inhibitors prior to surgery for this reason.

Regaining potency, as well as continence, should be considered part of your rehabilitation.

Thank you for your question. Best of luck.

Sincerely,

Ashutosh (Ash) K. Tewari, MD
www.cornellroboticprostate.org

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