penis vascular repair

Posted by garyd on April 17, 1999 at 21:02:58
I have had prostate cancer and am impotent.  The doctor  tells me that I should have an implant as I have tried all other options. He also says that I have blood leakage  and that is why I cannot maintain an erection.  I can get one up but not hold it.  He says that the vascular repair is not effectivd and to  forget it.  I would go anywhere to get this done if it can be effective with the right surgeons. Does anyone have advice of experinece with this issue.

Posted by HFHS M.D.-AK on April 18, 1999 at 08:06:06
Dear Garyd,
I will just make you aware of the different options that you have for erectile dysfunction.  First, there is the oral pill that has helped many people after radical prostatectomy, second there is penile injections that helps increase blood flow to the penis, third, there is the a intraurethral suppository, that also increases blood flow, fourth, there is the vacuum erectile aid(this would help you), and lastly, a penile prosthesis.
It sound like you are able to obtain an erection but not hold the erection.  The vacuum device comes with a set of rings that enables the individual to hold an erection longer, they physically compress the veins that allow the blood to flow out of your penis(the leak).  These rings could be used in your situation with or without the vacuum.
For completeness, there are different surgical options that could be explored(as you eluded to), but after radical prostatectomy I would not recommend them as your doctor stated.  My only suggestion to find an expert in penile reconstructive surgery in your area would be to call the closest University based hospital system department of urology.  You could get a second opinion form there expert.
Therefore, the last solution to your problem should be a penile prosthesis.  There are different types and you should look at the different options with your doctor(semi rigid, pump in the scrotum, pump in the head of the penis).  It sounds like your doctor has done a full work-up of your problem and is giving you good advice.  I wanted you to make sure you tried everything simple before you went with surgery.
Good Luck!
This information is provided for general medical educational purposes only.  Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.  More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Penile Prosthesis