Penile Rehabilitation: Prostate Cancer Surgery (Prostatectomy)

[@ATouchySubject]

SIGN UP for Free Penile Rehab Program : www.atouchysubject.com/help-for-ed-post-prostate-surgery

[@fionawhite4250]

Victoria, that is your best video so far. Absolutely excellent content and presentation. Should be prescribed viewing for all men who are tackling prostate cancer - before or after treatment. Congratulations!

[@ATouchySubject]

Thank you Fiona, I am so pleased you found this video helpful!

[@ahaua1]

Much better information than I got from my urologist!!

[@Noteven0]

*OMFG Loss of Penile Length NOOOO!* Hopefully this message will help ease the minds of any men facing the same concerns I Faced. I had stage 2 Prostate Cancer. I ended up opting for (Nerve Sparing) Robotic Assisted, Radical Prostatectomy and had the Surgery December 10, 2019. *I was really worried about the idea of penile length reduction* as probably most men are. I mean dude... Even the gifted fellas with a bit extra downstairs can relate to the old adage "Take my foot, take my hand, but stay away from my Jolly Roger!" I went as far as far as recording preoperative and then multiple post operative flaccid and erect pictures and measurements lol... Yes... Yes I Did. I even had my wife double check my measurements for accuracy, which was quite fun for her as you can probably imagine. First: the RP doesn't affect the flaccid or erect girth at all from everything I've read, asked about and observed in my own year *LONG* study, so that's one less worry you should have. Second: The penile length loss I have observed was nothing like I had imagined. Being generous with the measurement and rounding up, my penile length loss was a less than 1/2 inch its closer to 3/8 of an inch but like I said i'm being generous. Here's the best news, my erect length and girth are exactly as they were when I recorded my pre-operative measurements Which my surgeon said is normal, so the length loss is only detectable while flaccid (Thank You God and I promise to be good from now on.) I did notice something interesting though... I don't know if this is due to the RP, but you know how post ejaculation your "Lizard King" becomes really sensitive and you have to stop? Well I noticed a difference in the sensation of orgasm... It's About 25% better, deeper & More prolonged as well. plus I discovered that I can Keep going without having to stop. It's crazy I can literally keep going and have orgasm after orgasm 5 to 7 minutes apart until i collapse from sheer exhaustion or my wife calls the game on the count of ... Chaffing. I wonder if this new orgasm surfing is what women feel... Anyways, like I said I am continuing to measure and monitor my life post RP if there is anything to report I most certainly will do so with a quickness. Third & Final: Its been a year already and the only size difference is the aforementioned flaccid less than 1/2 inch that I mentioned before so I'm glad that I overestimated the length of the problem... Yeah Anyways *breath easy my fellow men, your "Trojan Horse" will arise to conquer another kingdom in no time, or ride back to Camelot as I did.* Either way is good. *Addendum: If the pills aren't cutting it for you, the Injection is AWESOME (and it really doesn't hurt) 3 Hours of Towering Rock Hard OMG it's insane* Much Love, Best Fortune and God Bless Y'all!!!

[@paulasusan63]

How long after surgery did it take for you to get an erection? In months or years? If you don't mind answering...

[@davepanton5558]

No discussion on brachytherapy... and prostate destruction. 😮

[@ATouchySubject]

Hi there, thank you so much for sharing your experiences we really appreciate it and love the analogies you have used, it gave us a giggle!! All the best for your ongoing journey!

[@andrewemery7459]

once again. excellent information. thank you for helping so many men.

[@ATouchySubject]

Hi Andrew, thanks so much for your kind words of appreciation! So pleased you are finding our resources helpful.

[@johnbradley1599]

Victoria thanks for your help but you've only outlined steps to increase blood flow. What specifically can we do to help restore and rebuild damaged nerves?

[@ahaua1]

I had robotic radical prostatectomy surgery in May of 2019, so I'm almost at the 2 year mark. First, foremost and most importantly, I remain cancer free, thank God. We're all different ,so the side effects I'm experiencing, may not affect all men; also, a huge part of the equation is the surgeon's skills. Prior to surgery, on a scale of 1 to 10, sexual function-wise, I was a solid 9, (at 58 y/o). What was disappointing, regarding my urologist, was that reduction of penis size was never discussed, and I was not aware of this potential side effect; I lost between 1/2"-3/4" when erect; less noticeable when flaccid. Although I didn't have girth measurements before surgery, I can tell that there was also some loss of girth. In addition, as our host mentioned in the video, I developed Peyronies disease, (about a 30 degree, downward curvature), and this was shocking and more devastating than the loss of size. It's as if someone else's penis was implanted during surgery. No thanks to my urologist, I explored the internet and came across a traction device, developed by an M.D., called RestoreX and I purchased one. It's supposed to help with both, regaining some lost length and it also helps correct the curvature. Even though I haven't used it as often as recommended, it has helped quite a bit with the curvature. I have also employed a vacuum pump, but I probably should use it more often as well. I've always been a slow healer so I'm hopeful that, even after 2 years, my body still has more healing to do. What I recommend is an anti-inflammatory diet, exercise, supplements like Acetyl L- Carnitine with Alpha Lipoic Acid, use of viagra/cialis, vacuum pump and masturbation. I've yet to try the injections, but may give them a try, depending on my progress. If you happen to be one of the unlucky ones with this diagnosis and are opting for surgery, I highly recommend you look up Dr. Thomas Ahlering from UCI medical Center in Irvine, California. Due to insurance reasons, I was unable to have him perform my surgery but I have a few friends who have, and they're all doing much better than average with minimal side effects. Hope this information helps and thanks to our host for excellent information!

[@ATouchySubject]

Thank you so much for taking the time to share your story, Alex! I am sure this will help a lot of men on the same journey.

[@Horriblebastad]

You are lucky, it's over for me, nothing now. 100% impotent,and very incontinent

[@allanyoung6231]

Thank you so much for your videos. I purchased a vacuerect that you recommended. Absolutely brilliant 😄. I had my RARP 11 months ago and this was just what I needed. 😄 I recommend your videos

[@ATouchySubject]

Delighted to hear that Allan!

[@malcolmdrums]

Thank you for your advice. I am one year in to my new life without my Prostate. I am 99% 'leak-free' but there is no 'movement' below. At 73 it doesn't concern me as the cancer has gone, but it would be nice if it could come back. However..it's not the end of the world.

[@ATouchySubject]

Hi Malcom thanks for your comment, you may perhaps find our free Penile rehabilitation program helpful on your journey: www.atouchysubject.com/help-for-ed-post-prostate-surgery

[@justdoesntaddup8620]

Great isn’t it, after being boasted to about “nerve sparing surgery” results, suddenly you are informed you now unfortunately have that common old man problem ED, (nothing to do with the surgery lies) and you are shunted off to a different specialist.

[@cjlew6391]

Absolutely fantastic Video answered a lot of questions.. I am 5 years out of surgery thank you very very much...

[@ATouchySubject]

Delighted to help, Chris. Thank you for commenting!

[@justineandrew5934]

wow! thank you for such a fantastic clip. I have just recently opened a men's health clinic and I will certainly refer my patients to your clip. thank you again : )

[@ATouchySubject]

Hi Justine, I'm so pleased you've found the video helpful, where is your Mens health clinic? Do you have a website I can check out?

[@justineandrew5934]

@@ATouchySubject Hi Victoria! thank you for your reply. yes I have set up a website and would love to share with you: justineandrew.kiwi I am currently practicing in Auckland, New Zealand and am on such a learning curve! I look forward to watching your other clips and delving into your resources. Excellent resource!

[@chellseppola272]

Thank you for the very informative video. Instead of the getting the prostatectomy I had the cryo-surgery done where they freeze the prostate to destroy the cancer cells but it also destroys the prostate itself. From what I have read and was told by my urologist was that the freezing can sometimes severely damage the nerves around the prostate causing 100% ED. It's been a year now since my cryo-surgery and I cannot get any erections at all. I am going to try your tips for penile recovery and hopefully things will improve for me.

[@ATouchySubject]

Hi there thanks for sharing your rehabilitation story. For more information on penile rehabilitation you may like to sign up for our free course: www.atouchysubject.com/help-for-ed-post-prostate-surgery I hope this helps!

[@youngtimer964]

Thanks so much. That was very helpful.

[@musgrovecommunications5579]

Thanks for your great video, Victoria. Excellent presentaiton! I am off to my first post-op (RARP) appointment this week and will have a chat with my urologist about those options. Keep up the great work! :)

[@ATouchySubject]

Hello! You are welcome, so pleased to hear it has helped you in making some important decisions. Thanks for your kind feedback we appreciate it!

[@georgebisson5622]

I had a nerve sparing Prostatectomy in Jan 2019 and my urologist recommended the Tri-mex injections and I filed the prescription but only was able to do 4 or 5 injections. I hate needles so much and my penis seems so much smaller now which makes the needle look even bigger. My question is, have I waited too long? I just ordered an auto injector and hope it will help me. You mentioned at the end that you saw a few men that had done nothing for two years, were they able to start therapy and regain function?

[@ATouchySubject]

Thank you for sharing your experience, George. I can imagine the injections would be very difficult given that you hate needles, I also hope using the auto-injector helps circumvent this. You might want to consider speaking to your urologist about the other options mentioned in the video so that you have other ways of inducing blood flow regularly. I have seen men who started to use erection aids after years of not having erections and with trial and error they are usually able to find a method to have an erection when they want one. In terms of regaining spontaneous function however, that is not a simple question to answer I’m afraid. There are many factors influencing both penile tissue health and then spontaneous erection function, many of which we are still learning about. As far as I am aware, there is no guideline saying that unless rehab activity begins within x amount of time then there is no chance the penis can become erect again spontaneously if the nerves recover (and please keep in mind, nerve recovery can take 2 years < and is a big factor in spontaneous function). The guiding principle is simply to do something positive regularly towards keeping blood moving through the penis (like used to happen with nocturnal erections) in order to avoid penile tissue changes such as fibrosis. You are currently taking steps towards making this happen using the injection method. If you are worried that you are experiencing changes to the penis tissue structure then I recommend making an appointment with your urologist. Thank you for your question, I know this is one many other men will have on their minds.

[@haroon1333]

It was very productive, Thanks

[@ATouchySubject]

Hi Haroon, you are welcome! Glad you found this valuable

[@raleigh5646]

Victoria is there any pain the rehabilitation case?

[@ATouchySubject]

Hi Raleigh, we don't quite understand your question could you rewrite this question in a different way to help us understand? If what you are wanting to know if any of the techniques cause pain, we recommend deep diving into our videos in each topic. All techniques can be comfortable and easy with practice and proper technique. We do have a video on Vacurect side effects: kzbin.info/www/bejne/hXbSlWh4rp2cq6c You may also like to see our interview on injections: kzbin.info/www/bejne/fXmWiXyPiN1msNE Hope this helps!

[@lincolnmiller919]

The vacuum device only pulls venous blood back in. This may help with some aspects. However, increasing arterial blood flow requires pde5 inhibitor medications or injections. Generally, good information on this channel.

[@ATouchySubject]

Hi Lincoln thank you for sharing your insights we appreciate your feedback!

[@WARRENBUFETT]

Thankyou.

[@janetw9430]

What about some sort of light/vibrational therapy?

[@ATouchySubject]

Hi Jane, you may be interested in checking out our video on Shockwave therapy: kzbin.info/www/bejne/oYesaa2reK9ki7c

[@lenniechant7483]

49 had removal of my prostate, at the time i had average performance when it came to maintaining firmness , overall health was average, 2 years later im getting some return to normal use , i started masterbation about 1 month after surgery, i was usable to be with my wife and still struggle in that department due to a few embarrassing encounters but hope to change that in the near future.

[@ATouchySubject]

Hi Lennie thanks for your message and for sharing a bit about where you are at, we are pleased to hear that you are returning to normal use 2 years later. We wish you all the best for your ongoing rehabilitation

[@carlosfernandez1]

Let see if I can explain my situation. I was on TRT (Testosterone Replacement Therapy) for 4 years before my PSA raised above 4.0 (6.2) and I was diagnosed with prostate cancer. 2 injections of Lupron were administrated (one in January 2018 and another one in July same year). Then I have a prostatectomy on September 2018. Up to now my PSA have remain undetectable. That's very important to me and I thanks God for it. It has been 22 months and pills doesn't have work. Trimix injection works up to around 25% probably more but not enough to go on penetration. I'm working on it. Also I'm using a vacuum and with it I can do it. I have reached orgasm. Also my testosterone is way low. What can I do?

[@ATouchySubject]

Hi Carlos, as your question regarding injections relates to pharmaceutical interventions it is best to check with your prescribing doctor. If you would like to explore other options you may like to sign up for our free penile rehabilitation course: www.atouchysubject.com/help-for-ed-post-prostate-surgery

[@LesterD-y7j]

Makes a lot of sense, I just realized that Mario updated his favorite way to tackle ED and it's crazy! Although what he previously talked about was pretty decent, it was difficult to follow, I just go'ogled the latest by Mario Volpstein, it's so much simpler and potent now!

[@lionheartroar3104]

How soon can you start penis rehab after surgery

[@ATouchySubject]

Hi Lion heart - earlier is better but it's never too late to start!

[@davidrosen5137]

Wish I had seen this a year ago. Listen to her guys; get started on rehabilitation as soon as possible after you prostatectomy 🍆

[@ATouchySubject]

Hi David, thanks for sharing your experiences and reiterating how important it is to start early!

[@tararuaman]

I can strongly recommend the 'Vacurect' You will get a brilliant erection if used correctly . I've tried all the others and wasted a lot of money. wish I had this one from the start.

[@ATouchySubject]

Hi Tara thanks for sharing your experiences with the Vacurect. We are so pleased to hear it has worked well for you!