Men who had penile injections of alprostadil one month after bilateral nerve-sparing radical prostatectomy (which means that both nerve bundles were saved) had: A much better recovery rate of natural erections firm enough for intercourse after 6 months than men who did not use the injections (67% vs 20% in the group that had no treatment). In most instances the nerves to the penis are merely traumatized and not damaged. * It usually takes years for the nerve function to return to normal. This period of time when the nerves are healing but not yet functioning normally is when a penile rehabilitation program is so important.
Very important: “We know that the more blood flow there is throughout the penis following a nerve-sparing radical prostatectomy, either with a pill like Viagra or with an injection of a pharmacological agent, the better the chances of regaining erections.”. Nerve-sparing surgery is a type of surgery that attempts to save the nerves near the tissues being removed.. It is commonly applied in radical retropubic prostatectomy where surgeons may visually identify the cavernous nerves of penis or apply an electrical stimulation penile plethysmograph diagnostic test to verify the nerves. The bilateral approach attempts to spare the nerves on both sides.
May 05, · I had non-nerve sparing in , left side removed, right side unable to be removed surgically, but was marked "damaged" on surgery report. I am in the rare club, have had zero ED from day one. Was having full natural errections while still on the catheter. Two Doctors at MD Anderson are recommending I strongly consider a penile implant for ED resulting from non-nerve sparing radical prostectomy. Surgery was approximately 18 months ago.
Erection medications work by coaxing more blood into the penis. If a man doesn't have enough nerve function to enable erection, the amount of blood in the penis won't matter; no nerve function means no erection. Nerve-sparing surgery, by contrast, allows a man to . Erectile dysfunction is a known and much-dreaded functional consequence of radical prostatectomy. Dr. Patrick Walsh pioneered the nerve-sparing radical retropubic prostatectomy in the early s, which has mitigated the morbidity of this surgery. Post-operative potency rates range widely from 20 to 80%, however, and depend on myriad factors including age, preoperative potency, and degree of Author: Michael Whalen.