Viagra Or Sildenafil

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After having my prostrate removed robotically my urologist let me know my nerves were all good . 12 weeks later I was put on up to 100 mg of Viagra actually Sildenafil . Night one I took 60 mg no success - skipped night 2 - night 3 no sucess 😟. Any thoughts??
 
Brandnewdude
12 weeks is really early to expect recovery of this. The nerves involved are tiny, almost weblike and very sensitive to both heat and light. They were exposed to both during the surgery. While some recover sooner, two years is typical for recovery. Be patient and see how it goes.
Boomer
 
My doctor prescribed tadalafil 5 mgs daily and 20 mgs when I want to have sex but neither is really working well.
How many mgs can I try without other side effects???
 
My doc also prescribed TADALAFIL like Jacque’s physician. They said I should try using 20mg (max dose) to get an erection at 4 weeks but “don’t use it” lol. He said I should do try to have erections twice a week. Currently I’m only 2 weeks post op and notice nothing with the 5 mg daily dose.
 
Jacques are you taking it on an empty stomach? They told me empty stomach and can take 2-6 hours to kick in. Some people take it at bedtime for morning… well you know.
 
Hace cuatro meses desde mi operación robótica, tomó 5 mg de tádalafilo y prácticamente todas las noches tengo buena ereccion. No he probado la dosis máxima de 20 mg y he mantenido relaciones satisfactorias. Espero en un tiempo dejar las pastillas y espero no usarla más. Estuve unos días con COVID y las deje durante 10 días y durante ese tiempo no tuve ereccion
 
I just returned from my 18-month check-up after my RALP. 18 months ago I was told I would likely be completely continent in 6-8 weeks and begin to get my erections back in 8-12 months. I can't call those lies, because in truth I was told that everyone recovers differently, but I sure bought the glass half full possibility. It took me 17 months to get continent, not 6-8 weeks, and that was only because I am willing to spending an hour a day doing my core/Kegel exercises prescribed by a pelvic floor PT. And continence for me (and most of my friends who have been through this years before me) means I will still leak a little for the rest of my life. I call it "in the pipeline" urine. Before my surgery, I could shake the last drops of urine out when I went to the bathroom and never have an issue. Now, when I think I'm finally done with the shaking and zip up, several drops that were somewhere in the pipeline make it outside to freedom. If I'm not wearing a thin pad, I may show a wet spot. As for erections, I have been rehabbing my penis every day with a VED, to be sure blood flow kept those vessels healthy in anticipation of the return of naturally occurring engorgement. Today my surgeon/urologist told me if I haven't had natural "wood" by now, it's likely I won't ever again. Yes, it may happen in the next 6 months, but the odds aren't great.
On the good side, my PSA readings have been negligible over this year and a half, and I am thankful the cancer is apparently gone. But I write this to warn you that patience is a necessity and nothing is guaranteed. Good luck.
 
Unfortunately most of us have been led to believe by surgeons that our recovery will be relatively quick and simple! Once over 65, regardless of extreme fitness, like myself, their glowing predictions are off the mark, and we pay with disappointment. 6 years ago at 70, I was led to expect the 3-6 months continence recovery and ED year. Neither happened. Never told about shortened penis, which contributes to dripping along with missing one of 2 sphincters. Then I learned that urologists see 1-2 pads/day as continence. That dissuaded me from AUS or Sling surgery as too many guys here wear 1-2 pads/day after either surgery, meed to be reinstalled/adjusted/removed, etc.
since I’m at 1-2/day already couldn’t see the value. Good thing is I’ve maintained <0.1 PSA
 
Is it Ever possible to have a erection if you have had all the nerves removed in RP ?.
My surgeon said he was going in wide to remove my prostate, so it was likely I would be impotent.

Oh well, if that's the case, it is what it is I guess.
I don't even get the urge much now to be honest, so probably won't miss it.
Also a father, so have passed my genes on .
 
I was nerve sparing on one side I was told and prescribed Tadalafil for 6 months. It had no real impact and at 2 years 4 months post op only a slight stirring and engorgement but insufficient by itself. I use the VED plus constriction ring and it works fine. I did use it regularly at the start for rehabilitation and that seems to have helped to prevent retraction. Incontinence recovered quite a bit, dry at night and if I am relatively inactive. I'm on holiday at present which involves quite a bit of walking so it's the conveen and legbag in that context for me. I could of course use pads but I hate the warmth and wet feeling so I prefer the external catheter. In my view when men enter treatment for Prostate Cancer the outcome is unpredictable no matter what treatment option you choose. The emotional impact at the early stage is difficult but you do learn to adapt and adjust most days.
 
Hbrownlow said:
I was nerve sparing on one side I was told and prescribed Tadalafil for 6 months. It had no real impact and at 2 years 4 months post op only a slight stirring and engorgement but insufficient by itself. I use the VED plus constriction ring and it works fine. I did use it regularly at the start for rehabilitation and that seems to have helped to prevent retraction. Incontinence recovered quite a bit, dry at night and if I am relatively inactive. I'm on holiday at present which involves quite a bit of walking so it's the conveen and legbag in that context for me. I could of course use pads but I hate the warmth and wet feeling so I prefer the external catheter. In my view when men enter treatment for Prostate Cancer the outcome is unpredictable no matter what treatment option you choose. The emotional impact at the early stage is difficult but you do learn to adapt and adjust most days.
 
Completely agree with you.
My urologist didn't prescribe anything.
Going to Vegas in a couple weeks, Conveen and a leg bag,hate walking around feeling like I have warm swamp water there.
 
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