
“Injection therapy allows a man to have sexual intercourse again,” says Bivalacqua.
STRONG GORILLA PENIS HOW TO
But it’s a tiny needle, and your doctor won’t just hand it to you and say, “Good luck, buddy.” You will be taught how to use it. Injection therapy? You mean, sticking a needle in the penis? Well, yes. “By injecting a medication will increase the blood flow to that area, the man has a very good chance to restore erections and get that important part of his and his partner’s life back.” (Note: not every man has urine leakage after surgery, but some men do and it is usually temporary.) “How important is it to you to have penetrative sex?” If that is very important to the man and his partner, “then I ask how often he has tried Viagra over the last four weeks.” If the man has tried it multiple times with no success, “I recommend that he start injection therapy immediately.” Now, here’s a question Bivalacqua asks all of his patients a couple months after surgery, when they are healing and are no longer having any problems with urinary leakage. It just means that at least right now, you might need a little help. Your body is going to continue to recover. That doesn’t mean you will always need this. What you may need is a jump-start to get it going. The blood supply to the penis is still good.” So basically, it’s like a car that is having trouble starting. Just to recap here: Don’t be discouraged if the first time after surgery is not that great. “I tell men that it often takes three or four attempts with Viagra to have a true response that will allow penetrative sex.” This doesn’t usually occur within the first couple of months after surgery, “but usually men see the most meaningful recovery around 9 to 12 months after surgery,” Bivalacqua notes. Taking a pill like Viagra can boost confidence as well as help with erections, but even so, the first try might be frustrating. If that’s the case, then I encourage them to go ahead.” “It is very difficult for me to tell a man that he should spend $600 a month to take a daily erection drug, because the evidence of a quicker return of erections is just not there.” However, he adds, “taking a pill daily may provide a benefit, and a lot of prostate cancer patients want to take a proactive approach. Instead, Bivalacqua tells his patients to take it as needed. Although some doctors prescribe the pills this way, it’s not what physicians call an “evidence-based” practice that is, the medical literature doesn’t back it up conclusively. Does he take it every day, like a vitamin? No. However, the VED can play a very important role in another aspect of surgical recovery: penile rehabilitation (see below).įirst, the pills: “When one of my patients leaves the hospital after a radical prostatectomy, he takes home a prescription for Viagra,” says Bivalacqua. It is not a first-line treatment for ED because there’s a high drop-out rate, Bivalacqua says. Also, having a loving and understanding partner always helps.” There’s also the vacuum erection device (VED). If they don’t work, you get a penile prosthesis. If they don’t work, you move to injectable medications. What’s the secret to having a good sex life after prostate cancer? It’s very simple, says Johns Hopkins urologist Trinity Bivalacqua, M.D., Ph.D. Home » Help for ED after Prostate Surgery: The Basics Support PCF in Your Workplace or Community.Featured The 30th Annual Scientific Retreat.

