Prostatectomy can be a scary procedure, even though it is a very common surgery. If you are choosing to undergo a prostatectomy, chances are high you have been diagnosed with prostate cancer and are doing everything you can to become cancer-free. ✩ Related Videos: → All about retrograde ejaculation: ruclips.net/video/hBuefl6cI5Q/видео.html → Is that semen on my poop? ruclips.net/video/DfQ2aJOi6TQ/видео.html → The male g-spot: ruclips.net/video/d5WpgaZL-ag/видео.html → Am I allergic to sperm? ruclips.net/video/1jqdRBXpCQQ/видео.html → All about the pelvic floor: ruclips.net/video/soqCD1s-ZDg/видео.html Prostatectomies are life-saving surgeries. They also come with some side-effects that you deserve to know and understand. This video breaks down common side-effects following prostate removal, such as: a change in penis length, dry ejaculate, urinary incontinence, erectile dysfunction, and increased risk of a hernia. I am so happy you are choosing to better your health. I wish you only the best on your journey. I hope you feel empowered moving forward. Please ask any questions in the comment section below.
Not worth it, thanks. I'll pass. It's nice to see all the flowery words like empowerment and taking charge of your life. It is literally dying with zero dignity and all the emasculation one can stomach. Id rather dies of anything rather than lack of dignity and total loss of my masculinity.
Brilliant video. I'm 4 months post op . I'm unattached partner wise, so sexual shortfalls are not, at present, the major concern for me. Urinary leakage has improved from surgery catheter to external condom type still with a leg bag, to men's absorption undies, 4 per day to now maybe 2 Teena pads per day. So I'm getting there. When I first spoke to a prostate cancer nurse pre surgery, my head was spinning with over information and probably embarrassment talking to this young lady about what was coming soon. I know she's a professional but I never had to talk to a partner about this stuff, let alone a stranger. But she was awesome...as you are. You have brilliantly explained the Why, When and How of this procedure. I had reasonable prior knowledge of what was coming. That is Invaluable Your info Tori, takes that to next level. I'm Aussie and I wish all my brothers going through this, a successful positive outcome. My first post op PSA test the other week was 0.01. Not all zeros, buti will take it and stay positive Thanks again Tori Cheers from Australia 👍👍 Neil
Neil, I applaud your confidence, your ability to speak about this, and your results. Glad you are fine. I guess between death and a procedure, I would choose the procedure. I think, for me, discussing all this with my wife would be horrific enough, let alone a young female. That would quite simply be a deal breaker for me. At best, she will only be able to discuss the mechanics of it all and yet still have zero idea as to how a man, especially an elder man would feel about it. I cant get over the sense of emasculation and humiliation I would likely feel.
I know 3 people who have had prostate removal due to cancer. 2 were fine afterwards with no problems at all. The 3rd, my Father, had all kinds of issues. Beforehand he'd survived 2 heart attacks. But with his prostate the cancer had spread. He also had to wear a bag due to the resulting incontinence. It also started several years with oncology as they searched for the pieces of cancer and dealt with them. It got into his bones, which caused great pain, and resulted in about 3 cases of his leg bones breaking and 2 emergency hip replacements. Finally, as it spread everywhere, he passed away. I write this as a way of encouraging men to get tested. Either the blood test, or the traditional test. I get tested all the time as my Father wasn't the only one in my family to have prostate cancer.
At age 55 I had a PSA of 21. It was contained in prostate. Had Di Vinci radical prostatectomy and my PSA went below 1.0. Two years later it had moved to a PSA of 2.0. I had a biochemical failed prostatectomy. I went through 33 IMRT radiation doses. PSA dropped to 0.3 and for the past 33 years it bounces around 0.5. My PSA in July was 0.59. I went through a PET scan when PSA was 0.47 and the scan was clear. I get a PSA quarterly and we don’t know why it bounces. So I am enjoying life at 75 and keep checking it. Last January I had 2 days of passing blood in my urine and had an MRI that was clear and a cystoscope that showed 1 blood vessel that leaked probably a stray radiation site. I had an abdominal hernia about a month after my prostatectomy. Had it repaired.
Thank you for such an informative talk on prostate removal and what to expect post surgery . I had my prostate removed ten years ago and all is good to this day.
Very straight-forward and simple to understand. Thank you. There is a great deal that changes for some, well beyond the basics you clearly presented. Emotionally, many of us feel less a man, as nothing works as it once did. Even if one cannot have an erection, ejaculation can occur, but often with a great amount of urin at the same time. That is extremely discouraging, and, messy. We can't imagine any partner accepting that, therefore depression and even despair can occur. One's earthly values are called into play and drastically rearranged, in that case. The Good News is, Life can even be fuller and deeper when not bullied by the libido. But, it's no small trial or journey. Hang in there. God may become wonderfully real and warm to you. giving you more to live for than you ever dreamed possible; freedom/liberation, for sure.
l am 4 years after my op and feeling fantastic but l must say the last thing you need after having gone through all that is to take on some invisible sky wizard and join some religious cult no ,no,no,far better to be full of gratitude and live the moment as it happens,you don't have to be a slave to nothing be your own man
Thanks a lot. The information you provided is very useful. I expect a radical prostatectomy to be performed on me shortly. You definitely raised my awareness of what happens after the surgery. I am a little scared but at least I know now what to expect. Great education effort!
I am so sorry to hear that, but so glad that you are moving forward and doing what's best for your health! Cheers to an effortless recovery ❤ so happy you feel a little more informed about the potential and definite outcomes of the surgery -- and thank you so much for the kind words about the video!
Thank for putting this in a very easy to understand video. Getting ready for surgery and this really is helping me get ready and what to know after it is done.
You're so welcome, I'm glad it was helpful for you 💛 And yes, it's a really interesting shift in the field. PTs are starting to have "residencies" in different specialties (orthopedic, Neuro, pelvic, etc.) -- a lot like the medical model. I have mixed feelings about the formal shift, but am so grateful for the pelvic niche!
Thank you so much for the detailed presentation.I got robotic radical prostatectomy done one month back.The major problem I’m facing is urinary incontinence.Though I do kegel exercises,I still have no control over my urine…..
Took me over a year to get 80% dry, then after 2 years about 95%. My Oncologist was spot on , said go to the gym and train every day, work all the muscles in that area, pelvis, thighs back stomach and build muscle, the supporting muscle and tone in the whole area will aid control much better. Worked for me.
Me too mate ,I Had the surgery as well mate Robotic one and my life has been changed badly.Last year I admitted to A&E twice this year so far 6 times. Girl friend became a X,feeling no man anymore, Still 3 years after the operation I get pains all over my body,before the surgery operation I never walked into a hospital but now I go regularly!! Because use of Catheter I got a kidney infection, liver problems etc.you name it. Before the surgery I was not waking up of the bed night time Before the surgery I was not suffering with any pains. Before the surgery no kidney no liver problems at all. Sex life was top of the range great. I can't even lift up a toddler for 5 minutes. Just imagine that.I lost my job as well. Before I set off my house I always make plans to visit toilets. Still there are leaks what an embarrassing situation!!! I can make a massive list really . It's a horrible feeling that I put my self into this situation I let them destroy my life. But I'm the one guilty at first place to let them destroy my life. Before the surgery I was leaving my house and was able to not to visit toilets for 5-6 hours now I do every 30 minutes maximum!!.
Thanks for this video, it was very helpful. You have a very nice personality for a Physical Therapist, and congrats on getting your DPT. I just had the RALP w/ bi lateral nerve sparing surgery 12 days ago, and had my follow up 2 days ago. Had the CAT removed & was prepared for that. All my pathology was negative which was great news. Now for the Healing to begin & the rehab to come shortly.
I'm so glad that this was a helpful video for you, and I'm happy to learn that your pathology results came back negative! That's wonderful news! I hope that you're able to heal quickly and thank you for the kind words about my personality ❤️
This video is very accurate, I had a prostatectomy 5 years ago. Underwent 2 mos. of pevlic floor physio prior to surgery. Continued physio at 6 weeks post op. My only incontinence issue was from coughing and sneezing for about 6 months, otherwise full bladder control. Here are my results: . penis about 1 inch shorter but only when flacid, full erection did not change materially . was prescribed Cialis about 3 months post op. Can't say if it actually helped as erection ability was not a significant area of concern. . saw a specialist in post op ED management. Recommended massaging penis to erection daily to promote blood flow and nerve reproduction. If you have a cooperative significant other this can be fun physio. Patience is a virtue as during recovery being able to reach orgasm can vary. One thing I would recommend is seeing a wound care clinic to ensure surgical infection is managed properly. Do this from the beginning! I waited until a problem infection surfaced and it was the worst aspect of recovery.
My surgery was 22 days ago. Thank you for explaining so well. I'm not sure of the location of the urinary sfinkter. Is the control value, compromised? Or not?
So glad you feel you learned something! Unfortunately, prostatic cysts are outside of my scope of practice and I cannot give individualized medical advice. I recommend speaking more with the physician (or his/her nurse practitioner or physician's assistant) who diagnosed you -- don't hesitate to follow-up with him/her and ask any and all questions you have regarding your health. I wish you nothing but the best, and I hope you find the information you seek. If you have any general questions, please do not hesitate to reach out ♥️
Hi, your video on prostatectomy was very informative and thank you for that but I can't seem to find the link for therapist in my area. Would you mind sending it again?
I'm so glad this was a helpful video for you and that you're seeking therapy! That's wonderful, and I wish you the best in your healing. Here's the link: pelvicrehab.com/ ❤️
Great information. Before now I didn't know that the seminal vesicles are removed along with the prostate, during prostatectomy. No one told me about dry ejaculation but knowing that most of semen is created in the prostate, I was able to figure that out using logical deduction. I feel compelled to add that I learned that just where the vas deferens ends, at the prostate, and "dumps" sperm into the urethra, is a widened area of the vas deferens called the _ampulla_ where sperm is stored. However I don't know how long it is stored there. Also, my understanding is that sperm and semen are not simply "dumped" into the urethra but that the vas deferens is a muscle whose spasmatic contraction produce ejaculation - called "spurts of fluid" in vernacular English. Also, I think that the process of connecting together the 2 ends of the urethra that are left hanging, after the piece of it that is inside the prostate is removed along with the prostate, is called "anastamosis" or something like that. If you correct any mistakes that I have made, I would appreciate it!
You're correct! There is an ampulla right were the vas deferens and bladder meet. Where the vas deferens and seminal vesicles meet, there is something called an "ejaculatory duct" that helps to propel ejaculate into the urethra, and "anastomosis" is the medical term for the surgical connection of two channels, like the surgical connection of the top and bottom of the urethra in a prostatectomy, or, a better known example might be the surgical connection of an artery when someone has an arterial blockage in their heart that leads to heart attack! Wishing you the best in your healing 🧡
I had prostate cancer 3 years ago and had it removed, after 12 months I was able to control most leakages except for the odd one when making a sudden movement which is annoying, as for dry orgasms this is not true I would describe my orgasms similar to a female orgasm where a female would squirt. Yes it’s urine even tho I do empty my bladder I can still squirt which can be quite powerful depending on the level of arousal I can also have just lubricant in my orgasm I am not sure of the mechanics for that to happen. Erections are hit and miss and not required for orgasm but they are better with viagra. Information was fairly good but training the pelvic floor was done the night before surgery. All in all the outcomes are only as good as the surgeon, I am very happy with my outcomes requiring no further treatment after a prostate cancer that was a Gleeson 9. Cheers
Today 2024 surgery is LAST on the list. It takes EXTREMELY skilled team even then the complications are not compatible to other treatments. 1 Center of Excellence. 2. Experience, 3. Experience 4. ...... PS just yesterday I was told if you don't have one you can't really comment - just saying.
Had prostrate cancer - opted for radiation WHY 98% cure Surgery only 50% - higher side effects with surgery especially if it fails and then need to return 4 radiation
I did not get an answer from this video: "Prostatectomy / Prostate Cancer Surgery:" I have NOT undergone prostatectomy. At 75 I am getting dry ejaculation all the time. Is it because of age? Has the production of semen completely dried up? Can I just relax about it and enjoy whatever little sensation of orgasm that I am getting? Also, erection is not very firm. Is there a remedy? I have never used Viagra. What do you advise?
I'm sorry you didn't find the information that you were seeking in this video, and I'm honored that you're comfortable asking me for advice! Unfortunately, I can only stand by my reply on my retrograde ejac*lation video and encourage you to seek the guidance of a healthcare provider who you trust, you knows you and your past medical history! Dry eja*ulation and ere*tile dysfunction are both conditions that I did not treat in the clinic, as they are outside of my scope of practice. I really do hope that you're able to find the guidance you are seeking elsewhere! I wish I could be more helpful, and I also wish you the best in your healing 🧡
I had stage 3 prostate cancer about 12 years ago and opted for a prostatectomy. No one really sat down and explained the possible side affects to me. I have experienced all of the 5 symptoms you described. Honestly, they are life changing for a man and can contribute to depression and loss of self confidence. Some problems have improved over the years and some have gotten worse. Considering everything, would I repeat my decision? Yes indeed, I wasn’t ready to die. I wish that the following things had been provided to me: 1. I wish I had had better information up front 2. I Wish my doctor had directed me to counseling or support group 3. I wish my doctor had sent me to specialized physical therapy.
Agree 100%. Exactly same position. Stage 3 etc. Pelvic floor exercises PRE-OP should be mandatory. I saw a nurse who took me through some stuff beforehand but there is SO much going on in your head existentially that it was low on my list and I wish I had done more. I certainly needed to do a lot post surgery to regain control of my continence. Also women explaining to men how it should feel didn't work very well for me. I could not translate what they were saying I should be feeling with what was going on for me. I personally have had better success with instructions from male yoga/pilates/physical therapy instructors. Don't be afraid to seek out alternate sources if it isn't working for you. There will be someone/something that can help.
I find that anytime, especially a woman, describes these side effects, it is IMPOSSIBLE for her to know how a man will feel about them. How a man feels about masculinity, virility, confidence.....these are only superficially considered by medical folks and especially females who can. not relate to men's feelings. They can be well read on the topic scientifically, but will never actually know how a man will feel.
My father had radiation for his prostate cancer , 27 doses.. it fried his bladder.his last 5 years were miserable, I also had prostate cancer at 60. Went with robotic surgery. Complete removal, doc who did biopsy talked about all the negative possibilities, I went surgeon shopping. Wise decision, a good surgeon can save your life, a great surgeon can save everything else as well. Within 5 months, everything was back to normal. And this was 14 years ago. Surgeon selection ,do your research!!
"Everything went back to normal? !..." Meaning all 5 things she covered in her video? And if so, where on earth do you find such a brilliant urologist that us about to terminate your sexuality altogether? 🤔
Radiation does not “fry” bladders. That’s a ridiculous statement. It comes down to the quality of the radiologist. Maybe your father didn’t have the best available. Any research will indicate radiation has less harsh/permanent symptoms than surgery, many outcomes of which are permanent. Both options achieve similar successes in terms of killing the cancer. You say “everything returned to normal” after your surgery. You must be unique.
I had a prostatectomy done seven years ago at a renowned hospital in Nashville TN and had the da Vinci surgery done, first and foremost I have a few of the symptoms you explained but they are very minor. Of course, the lack of ejaculation and the every-now-and-then leakage is something I can deal with, but other than that it's pretty normal. My recovery time was basically pretty quick due to the lack of being filleted open with just five small holes to deal with. I spent one night in the hospital and was released the next morning to start my recovery at home. I can attest though that the catheter wasn't any fun but had it removed ten days later. I would highly recommend the robotic-assisted minimally invasive surgery. Might be time to update your video.
our circumstances seem similar would you mind sharing your stage and gleason score if that is not too intrusive? I had davinci surgery 3 months ago and recovering now.
Firstly I'm glad you are well! Alive and healthy are most important. However, many men will wait until they come up with a procedure that is less humiliating and emasculating before they consider this sort of thing. I know there have been advancements, just not enough of them.
Hello Doctor! Thank you very much for making this video. I learned a lot! You answered a few questions that I had. Your drawing was very helpful and well done. Most importantly, thanks for being thoughtful and kind. I am at one year post radical robotic prostatectomy. I still have a bit of urine leakage. I’m doing kegels and they have really helped me. Those kegel exercises work! Oh yes they do! Again, I thank you for your expert assistance. I have subscribed. Phil -Pittsburgh
I am one of 12 siblings including 6 brothers. At 58 was diagnosed with prostate cancer. I had surgery to remove it. My paternal grandfather died from it, as far as the rest of the family, at the time, nothing was known to me. My father in law had died from it. My son and i have the same GP. He started testing my son at 34 years of age. He developed the cancer at 51. Also two fo my brothers also developed prostate cancer. I endured every thing discussed in the video expect the herina and after 20 years learned about some new therapy and now am trying it. My message is, boys if it runs in your family get your self tested.
Thank you so much. My PSA was very high, an increase from the previous one. I've my biopsy procedure and see my urologist this week for results. I have more than 50% chance of cancer, so wish me luck.
Thanks a million for your expertise and clearly explanation , I had the surgery done 6 months ago and is currently doing the pelvis exercise on a daily basis, I almost there and can’t wait to be fully recover . Thank again, I’ll begin to follow you on this media and learn more important information that I can share .🙏🏾🙏🏾🙏🏾💯💯💯 Leroy .
Thank you very much for your extremely informative video - I really learned a lot and appreciate your taking the time to give such a detailed and clear explanation. I am looking at a radical robotic prostatectomy not too far down the track, so really valued your knowledge and recommendations. I feel so much more comfortable now having this knowledge. Well done.
On Dec. 9, 2023, I will be two years post prostatectomy. I must say, your information is excellent and spot on. I wish I had this information prior to the surgery. I would have still had the surgery but it would be nice to know what to expect afterwards. Thank you for the excellent video and information.
There seems to be two medical options about post prostatectomy sex health: 1) Basically doing no proactive actions and wait 24-36 months then started ED treatment as needed; or, 2) Start some sort of physical proactive activity immediately after surgery to avoid atrophy issues. So, which option is most effective?
Congratulations, this is very well explained. I have had this surgery for over a year and it is going very well. The surgery was robotic and the nerves were spared. As you explain, they removed my prostate, my seminal vesicles and my vas deferens and the only effect I have on this day is # 2, dry ejaculation. It is very surprising at the beginning because there are all the same powerful rhythmic muscular contractions as to expel the semen but absolutely nothing comes out of the penis but I am used to it. The sensations are less strong because we do not feel the liquid come out at this time but the sexual pleasure is still present without prostate.
I’m so glad you enjoyed the video, and I’m so happy your surgery was such a success! Thank you for sharing your experience - I’m hopeful someone reading the comments will find yours and be comforted ❤️ wishing you only the best!
@@pierrepierre6843 Hello mate I Had the surgery as well mate and my life has been changed badly.Last year I admitted to A&E twice this year so far 6 times. Girl friend became a X,feeling no man anymore, Still 3 years after the operation I get pains all over my body,before the surgery operation I never walked into a hospital but now I go regularly!! Because use of Catheter I got a kidney infection, liver problems etc.you name it. Before the surgery I was not waking up of the bed night time Before the surgery I was not suffering with any pains. Before the surgery no kidney no liver problems at all. Sex life was top of the range great. I can't even lift up a toddler for 5 minutes. Just imagine that.I lost my job as well. Before I set off my house I always make plans to visit toilets. Still there are leaks what an embarrassing situation!!! I can make a massive list really . It's a horrible feeling that I put my self into this situation I let them destroy my life. But I'm the one guilty at first place to let them destroy my life. I don't include shortening of my penis. Before the surgery I was leaving my house and was able to not to visit toilets for 5-6 hours now I do every 30 minutes maximum.. As I said at the beginning please try hormon therapy Radiotherapy whatever but do not go ahead with Surgery operation option. Ps.if you go ahead with Robotic surgery operation than you will become a robot rest of your life you will have to do kegel exercises! Public floor!this is what I tell everyone!
I also had a prostatectomy i have had no problems. With incontinent not after removal of the catheter. But i did notice a bid smaller penis and since only ,and 6 month after, i still have not had erection . But there is still hope than thank for video.
Excellent advice my surgeon explained everything you mentioned except the “shortening” effect. Probably because many men would opt for a different treatment rather than loose a half inch.
Loss in length makes it difficult to use public toilets. Firstly 'finding it' and then secondly getting out through the zip far enough to not wet the front of your trousers. I have recently found that 10mg tablets of Tadalafil (Cialis) (available over the counter) taken every three or four days considerably helps the 'soft' length of the penis helping with the above problem.
I use the corner urinal, undo and drop my trousers a bit, get it fully out and pee. No problems using my new technique rather than trying to pee through an underware slot, learned the hard way!
Hey, I remeber doing that when wearing my jumpsuit bottoms (no zip) I will have a practice with me trousers. Must admit it would save a lot of money Ha.@@elkiton
I am 21 months post surgery and all of my bathroom visits are "sit downs" just because trying to maneuver the pad in my underwear and undoing everything makes a stand up inconvenient.
@@kb3byu yes, that sitting down works well and was my technique for best part of 2 years or so.... Avoiding accidents was the main thing. Now at 5 years on and a lot of gym training, I use a urinal, just dropping my trousers. I did not think I would ever get to this stage, having heard that at the 18 month point that was 90% of the best possible achievement, that extra 5% or so came slowlyfor me
Thank you very much for providing some presurgery information. Men who re contending with the issue of Prostate cancer have a lot of very complicated information to sort through. One very important one is quality of life after any procedure they select. The diff
You're so right, the diagnosis in and of itself can be so heavy and daunting, let alone sorting through all of the necessary information to make treatment decisions. I'm really glad this video was helpful for you, and I wish you the best in your health 💛
Hi Doctor, Thank you so much for explaining the loss of penis length. I am 18 years post op and was never told about loseing lenght. I was told that my prostate was mad at something because it was very swollen. I lost more that a little length. I have been lucky in having no incontinence, untill this year. It is light and I do kegels which have helped. Again,Thank You.
Nice presentation, good information. I posted my journey over the past five years on you tube and have helped a lot of men all over the globe. The more information the easier it is to make some of the hard decisions before or after surgery.
I had what I was told was a turp surgery, yet three of the four things you spoke of for prostrate removal I have. Such, ED, dry orgasm, bladder leakage. I have at best a 30% stiffness in the penis. It’s been 14 months since the surgery, is achieving a full erection and wet orgasm a thing of the past?
Thank you for the information. My father had a prostate cancer removal surgery, and instead of urinary leakage, he has hard time urinating. It seems that urethra gets blocked and he has to get a cathedral placed every time it's block. I'm not sure why this happens and I don't see any information on youtube except Urinary incontinence. I'd appreciate it very much if you could shed some light in understanding what's going on with him. Thank you!
I’m so sorry to hear about what’s going on with your father. It’s hard to say what is causing this difficulty urinating. While I cannot give individualized medical advice, I can share some ideas! It could be urethral scarring from the surgery causing a narrowing of his urethra and therefore difficulty urinating... or perhaps it has to do with the muscles around his urethra spasming. Sometimes, after surgery, muscles tighten to protect you, and those muscles can sometimes forget to let go even when the threat (surgery) has dissipated. Scarring can also affect muscles’ ability to move, perhaps urethral scarring is affecting his urinary sphincter? I’m not entirely sure, but he may benefit from pelvic physical therapy. A good pelvic PT would be able to assess his pelvic floor and at least get an idea as to whether or not some manual therapy could help decrease muscle spasm or improve scar tissue flexibility if either of those are the reason behind his difficulty urinating. If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com I wish I could be more helpful! Don’t hesitate to reach out with any other questions, and I wish you both the very best ❤️
64years, PSA 9, MRI pirads5, biopsy 4+3, Da Vinci prostata.removing incl nodes, finally Gleason 4+3 =7, PSA after 1month 0.02. I had 7 (seven) uro opinions, all said will be mistake if i donnt remove prostata...and two pathologic biopsy opinions😅..
Just one question i had my prostate removed cause of cancer been almost 22 months now i understand the dry orgasm no more sperm and it's true but during sex of masturbation urine squirts just like if it was sperm a lot it. why's that. thank you...
very nice demonstration i m medical dr going to have prostate operation got good informations ,, before operation in oct 2024 ,now it is almost due operation of it , lets see how god may save from complication god bless me
Something important that I either missed or wasn't addressed are the symptoms of prostate cancer. How does a man even suspect he has a problem? How do you know you need medical attention?
My cancer proceeded over 5 years. Only symptom during this time was a need to visit the loo more frequently...... Until suddenly I needed to run or get caught short. By then it was too late, radical surgery, but it had spread to lymph nodes so no cure.
*OMFG Loss of Penile Length NOOOO!* Hopefully this message will help ease the minds of any men facing the same concerns I did. 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 and 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... 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.* Much Love, Best Fortune and God Bless Y'all!!!
Thank you so, so much for your detailed, open, and informative comment! I really appreciate your honesty, and you taking the time to share your experience. I am so hopeful that your story will help other people who may be getting a prostatectomy feel more at ease/less nervous about potential penile length loss 🧡 Thank you so much again, and I'm so glad that a year out of surgery you're feeling at home with your "Trojan Horse," and that you and wife are having a fulfilling sex life 🤗
@@PelvicEmpowerment LMAO! Thank you Doctor, I appreciate your reply. During my pre-operative freak out period I remembered spending so much time looking for uplifting post operative comments to reassure me that I was going to be okay, and surprisingly there weren't very many from actual experience, so I wanted to write what would have been my ideal "Comfort & Reassurance testimony from real life first person experience." Quite naturally of course my inner ten year old boy couldn't resist throwing in some motivational penis names in hopes of conveying that there's no need to feel ashamed of Prostate Cancer or RP surgery and show the reader that hey look this guy lost 3/8 to 1/2 inch down low, but didn't lose any length off his sense of humor about it and trust me, I am by no means one of the gifted men that can afford to lose any length at all, and I'm usually a pessimistic, glass half empty guy so that's saying a lot. Again thank you for your reply Doctor, I hope it gives people peace of mind that *the worst part about RP is in your own mind, everything else is easy. Best of all, the rehab is fun!* I even got my penile rehab doctor to write me a real prescription for it so I could frame it and hang it on the wall in the bathroom!! No BS it's really on the wall in the bathroom. with a placard frame that reads:"To think I used to do this for recreation and now it's Therapeutic." You have to admit that's not a bad ending for a story that began with the words: "I'm sorry to inform you that you have stage Two Prostate Cancer." Thanks again Doc. ;-P
@@Noteven0 Aww, well I'm so happy you provided the uplifting, "comfort & reassurance testimony from real life first person experience" post for others that a past version of yourself would've so appreciated. And that you had some fun with your inner child while you made it 🤗 And I agree, most of the worst things live in our own minds, I've found!
@@Noteven0 thanks for your detailed post. How long did it take for your ED to disappear?Are you on injections and or pills? I’m wondering if perhaps those things are responsible for your endurance rather than the surgery. My biggest fear of RP is ED; I’m surprised to hear that you seem not to have problems. I’m stage 2B also; One of my tumors is said to have nerve involvement. Do you recall any of your details? I’d be curious to know the name/location of your doctor.
I had prostate removal about three years ago. I had some, but not all, of the symptoms described. Significant loss of penis length (about two inches) and some difficulty achieving an erection, but no real urinary incontiinence after the first couple of weeks. I can still have sex, but it isn't as much fun now.
Excellent presentation. Picky point on anatomy: the vas deferens travels up from the epididymus and goes anterior to the pelvis bone before it enters the abdomen (not behind it via the pelvic canal).
Superb presentation of what the surgery entailed with the diagram. I'm not really sure i understood the dynamics other than a prostate removal. I still have a catheter after 7 weeks due to kidney closure during the op and anastomic leak but it is coming out this week. Your advice is much appreciated as regards pelvic floor exercise needs and things to watch out for. Kind regards from the UK.
I'm so glad that this video helped you understand the surgery and what to expect, but I'm so sorry to learn that you're experiencing some complications. I really hope that the catheter removal goes well and that this is your only bump in the healing road! Wishing you an otherwise speedy recovery and all fo the best ❤️
i have been threw prostaectomy on jan/2023. ,due to agressive cancer in the prostate organ . i am steel using diapers,following uncontroleed constant leek.steel no errection signs. my suggestion to healthy farmers like me my age ,(75). in case of even most agressive cancer diagnosis.please choose the radiology over any modern robotic surgery .like de vinci device or others. remmeber remooving the prostate robotically is drastic and final,choosing radiation option enables our complex wondrful body a better chance to recover and overcome the damage of radiation.emil
On the other hand radiology carries it’s own risks. Those risks then limit your surgery options. If you have an enlarged prostrate and also cancer, radiation can kill the cancer, but you will still have the enlarged prostrate and it’s issue. I had my surgery done in July and use an occasional pad. Everybody is different, so one persons experience will be different than another.
Great insights. No man is right or wrong for his decision. After PSA of 9 and biopsy of 3+4=7, I chose radiation over surgery. I experienced urinary difficulties, ED, and dry ejaculate during 45 radiation treatments and hormone therapy. However ED stopped, ejaculation returned, and urinary flow returned 3-4 months after treatment stopped. No incontinence at all. Radiation Oncologist also told me that few patients need future BPH treatments after radiation. We’ll see….. Very happy with my results and my blessings. Best to all going through this.
My urologist (of course, he's a surgeon) agrees with your comments. With cancer and an enlarged prostate, sometimes surgical removal is better, and paves the way for future post surgery radiation (if ever needed). He claims that radiation really 'fries' the prostate area, making it very difficult and complicated to remove (if needed) in the future. Again, it's a personal choice depending on your circumstances.
If you’ve not yet had surgery please investigate CyberKnife. I cancelled my operation to have it instead. It’s entirely unlike most current radiotherapy techniques and is millimetre accurate. I’m having hormone treatment too, but I’m aiming to come out at the other end virtually unscathed. Surgery is from the past; now it’s CyberKnife
Thank you very much Madame for this great video+,info Had I watched it 3 years ago than I would have save my life. Sadly I'm the one to being blamed for the mess. You are a great human being. Regards from England.
I'm so glad that this video/information was helpful for you, but I'm so sorry to learn that you're having complications post prostatectomy. Please don't give up on your body's ability to heal, and I hope that you're able to continuing making positive progress in your recovery 🧡
Hi Emily. Let me address your comment respectfully from my point of view. As I write this, I am five weeks post salvage prostatectomy surgery. This is my second bout with prostate cancer. I was treated in 2020 with radiation which failed. I am 68 years old, quite fit, and very active. If not for a blood test and an MRI I never would’ve suspected that my cancer was back and aggressive. I have a great quality of life. I’ve been married to the love of my life for 44 years. I have two amazing adult sons. I’m blessed with dozens of close friends. I work part time now and then and the work I do is of substantial benefit to others. I enjoy the outdoors and have a lot of interests as well as new things that I want to do before I check out of this world. Why would I want to give that up? Is recovery struggle right now? At times, yes. Might I need additional treatment like radiation and hormone therapy, yes. And lastly, if I can enjoy most of what I did before, will it all be worth it? Absolutely. My eye is on the prize. I hope you wish me luck and it’s my wish that if you ever face a serious challenge in life you have the strength to face it bravely and not give up.
@@spitfirekid1 You have a great life, and I salute you for taking reasonable measures to keep your life going for as long as possible in your fight against cancer. A heartfelt “good luck” to you! I suppose everyone’s situation is unique and that personal situations change over time as well. I had a sibling who died last summer after many recurring battles with esophageal cancer. He, much like you, lived life with high expectations; he achieved so much right until the end. But he made the decision in the last year to forego any further surgeries and chemos because of the havoc they wreaked on him. That final year he actually felt better than he’d felt in previous years, and he was able to engage in old interests and hobbies thanks to his lessened suffering. He did what was right for himself after battling disease for many years, and I respect his decision as much as I respect your decision to keep going forward! 🙂
Like usual this has been very informative did not realize the surgery was so drastic will think long time before I have this done. Thanks so much. Rather take what time God gives me.Love you wish I new about your last statement had 2 knee replacements on the same knee sorry for such a long reply.
Don't apologize for a long comment! I'm really glad this was a helpful video for you, and I'm glad that, should you decide to have/not to have this surgery, you'll be well informed about the potential outcomes -- I wish this were the case universally 💛 Two knee replacements on the same knee?? I hope you've since healed and are able to do all of things you want to be able to!
Wow... Thanks Sooo Much ..Your presentation was Special and Much Needed...Im 64and out of the blue diagnosed with a Localised Intermediate Prostate Cancer! Im Fit n Healthy and Been Lifelong Surfer ...My Urologist wants to perform a Radical Laparoscopic Removal. I have also visited a Radiologist and he has sorted a Plan....Basically like everyone Just so undecided mainly with the SIDE EFFECTS!!! Cheers from Australia. And my Urologist has not mentioned the Negatives i can expect from Surgery...And never offered another opinion.
This video explains a lot in simple terms that most should be able to understand. Personally, I had my prostatectomy in 2011 and remember my urologist discussing ED, incontinence, dry orgasms and the possibility of hernias post-surgery. The only thing I don't remember him discussing with me was anything about penis shrinkage. Fast forward to now and the current recurrence of my cancer, I find myself on hormone blockers as my only treatment option (since I had radiation before) and guess what they cause...further penis shrinkage but also for more anatomical torture, my testicles are shrinking too. 😢
Thank You ! You've shared so much more info than my Neurologist did especially after my Radical Robotic-Assisted Prostatectomy a month ago. The schematic description was very informative, & how you followed through with highliner. As for my incontinence, I feel the results are fantastic I may have a slight dribble when I sneeze or cough & now if I get the urge to relieve myself, I can withhold much better than in the first few days. Down to the absorbent pad now, no more Depends underwear.👍Now, I need to keep an eye out for hernia! it's been a month but the navel incision is very hard all along the cut & still hasn't healed completely. The other 5 incisions are all doing fine with no issues
My Hospital in UK seems ‘proud’ to say there’s is Robotic Surgery….does this make any difference? I have no treatment plan yet as early days but the only thing NHS will offer is Active Surveillance or radical procedures.
I had my Prostate removed in August of 2021 and I had not been with anyone for like 3 years before that . I noticed my penis was shrinking before my Prostatectomy. Now I am over 2 years after surgery . I have constipation or loose stools all the time and once in a while it will come out normal . I have not had an erection for the whole time . I have taken Cialis and Viagra and even bought some CBD Gummies and nothing works .
T.U.R.P should be discussed so men don't confuse this with Prostatectomy , & end up suffering for years thinking the outcome will be the same. Also tissue removed can, & should be biopsied to look at changes in the cells ,as this will give you what urgency level you will be looking at should you need a repeat procedure in 8 to 10 years .
Explain minor prostatectomy, pros and cons,dangers. Mine went very well 7 years ago. I pee like a horse, sexual function is outstanding, normal. Medications they prescribed before,and after had bad side effects, thanks.
I am 66 yrs in age. I have had 2 hernia surgeries. Some 5 years ago. I now have an enlarged prostate, not sure if its cancerous. In 2 months hence I will recheck my condition. If i have to do removal, will the previous surgeries affect the removal? Please explain. Thanks. I am grateful for your professional teaching on prostate surgery post expectations.
Hi, I am very glad that I ran upon this video of you. How can I get in touch with you. I REALLY! need to talk to you containing this subject that you just talked about. Are there a way that we can talk by phone? Please! Please! reach back out to me. Thanks, Howard
Prostatectomy can be a scary procedure, even though it is a very common surgery. If you are choosing to undergo a prostatectomy, chances are high you have been diagnosed with prostate cancer and are doing everything you can to become cancer-free.
✩ Related Videos:
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Prostatectomies are life-saving surgeries. They also come with some side-effects that you deserve to know and understand. This video breaks down common side-effects following prostate removal, such as: a change in penis length, dry ejaculate, urinary incontinence, erectile dysfunction, and increased risk of a hernia.
I am so happy you are choosing to better your health. I wish you only the best on your journey. I hope you feel empowered moving forward. Please ask any questions in the comment section below.
Not worth it, thanks. I'll pass. It's nice to see all the flowery words like empowerment and taking charge of your life. It is literally dying with zero dignity and all the emasculation one can stomach. Id rather dies of anything rather than lack of dignity and total loss of my masculinity.
My psa is 48.9 they won't do radiation unless I have prostate removed
This video is by far the most informative I've seen so far on what to expect and what to do after surgery.
Brilliant video. I'm 4 months post op . I'm unattached partner wise, so sexual shortfalls are not, at present, the major concern for me.
Urinary leakage has improved from surgery catheter to external condom type still with a leg bag, to men's absorption undies, 4 per day to now maybe 2 Teena pads per day.
So I'm getting there.
When I first spoke to a prostate cancer nurse pre surgery, my head was spinning with over information and probably embarrassment talking to this young lady about what was coming soon. I know she's a professional but I never had to talk to a partner about this stuff, let alone a stranger. But she was awesome...as you are.
You have brilliantly explained the Why, When and How of this procedure. I had reasonable prior knowledge of what was coming.
That is Invaluable
Your info Tori, takes that to next level.
I'm Aussie and I wish all my brothers going through this, a successful positive outcome.
My first post op PSA test the other week was 0.01.
Not all zeros, buti will take it and stay positive
Thanks again Tori
Cheers from Australia 👍👍
Neil
Neil, I applaud your confidence, your ability to speak about this, and your results. Glad you are fine. I guess between death and a procedure, I would choose the procedure. I think, for me, discussing all this with my wife would be horrific enough, let alone a young female. That would quite simply be a deal breaker for me. At best, she will only be able to discuss the mechanics of it all and yet still have zero idea as to how a man, especially an elder man would feel about it. I cant get over the sense of emasculation and humiliation I would likely feel.
I know 3 people who have had prostate removal due to cancer. 2 were fine afterwards with no problems at all. The 3rd, my Father, had all kinds of issues. Beforehand he'd survived 2 heart attacks. But with his prostate the cancer had spread. He also had to wear a bag due to the resulting incontinence. It also started several years with oncology as they searched for the pieces of cancer and dealt with them. It got into his bones, which caused great pain, and resulted in about 3 cases of his leg bones breaking and 2 emergency hip replacements. Finally, as it spread everywhere, he passed away. I write this as a way of encouraging men to get tested. Either the blood test, or the traditional test. I get tested all the time as my Father wasn't the only one in my family to have prostate cancer.
At age 55 I had a PSA of 21. It was contained in prostate. Had Di Vinci radical prostatectomy and my PSA went below 1.0. Two years later it had moved to a PSA of 2.0. I had a biochemical failed prostatectomy. I went through 33 IMRT radiation doses. PSA dropped to 0.3 and for the past 33 years it bounces around 0.5. My PSA in July was 0.59. I went through a PET scan when PSA was 0.47 and the scan was clear. I get a PSA quarterly and we don’t know why it bounces. So I am enjoying life at 75 and keep checking it. Last January I had 2 days of passing blood in my urine and had an MRI that was clear and a cystoscope that showed 1 blood vessel that leaked probably a stray radiation site. I had an abdominal hernia about a month after my prostatectomy. Had it repaired.
Thank you for such an informative talk on prostate removal and what to expect post surgery . I had my prostate removed ten years ago and all is good to this day.
Very straight-forward and simple to understand. Thank you. There is a great deal that changes for some, well beyond the basics you clearly presented. Emotionally, many of us feel less a man, as nothing works as it once did. Even if one cannot have an erection, ejaculation can occur, but often with a great amount of urin at the same time. That is extremely discouraging, and, messy. We can't imagine any partner accepting that, therefore depression and even despair can occur. One's earthly values are called into play and drastically rearranged, in that case. The Good News is, Life can even be fuller and deeper when not bullied by the libido. But, it's no small trial or journey. Hang in there. God may become wonderfully real and warm to you. giving you more to live for than you ever dreamed possible; freedom/liberation, for sure.
l am 4 years after my op and feeling fantastic but l must say the last thing you need after having gone through all that is to take on some invisible sky wizard and join some religious cult no ,no,no,far better to be full of gratitude and live the moment as it happens,you don't have to be a slave to nothing be your own man
but a non understanding spouse makes it quite stressful.
Thanks a lot. The information you provided is very useful. I expect a radical prostatectomy to be performed on me shortly. You definitely raised my awareness of what happens after the surgery. I am a little scared but at least I know now what to expect. Great education effort!
I am so sorry to hear that, but so glad that you are moving forward and doing what's best for your health! Cheers to an effortless recovery ❤ so happy you feel a little more informed about the potential and definite outcomes of the surgery -- and thank you so much for the kind words about the video!
How are you now?
Thank for putting this in a very easy to understand video. Getting ready for surgery and this really is helping me get ready and what to know after it is done.
Thank you for making this video! I found it very informative and helpful. I didn't know that physical therapists could specialize.
You're so welcome, I'm glad it was helpful for you 💛
And yes, it's a really interesting shift in the field. PTs are starting to have "residencies" in different specialties (orthopedic, Neuro, pelvic, etc.) -- a lot like the medical model. I have mixed feelings about the formal shift, but am so grateful for the pelvic niche!
Thank you so much for the detailed presentation.I got robotic radical prostatectomy done one month back.The major problem I’m facing is urinary incontinence.Though I do kegel exercises,I still have no control over my urine…..
Took me over a year to get 80% dry, then after 2 years about 95%. My Oncologist was spot on , said go to the gym and train every day, work all the muscles in that area, pelvis, thighs back stomach and build muscle, the supporting muscle and tone in the whole area will aid control much better. Worked for me.
Excellent video. I wish I would have seen this before my surgery.
I'm glad it was helpful for you, and I hope that you're healing well 💛
Me too
Me too mate ,I Had the surgery as well mate Robotic one and my life has been changed badly.Last year I admitted to A&E twice this year so far 6 times.
Girl friend became a X,feeling no man anymore, Still 3 years after the operation I get pains all over my body,before the surgery operation I never walked into a hospital but now I go regularly!!
Because use of Catheter I got a kidney infection, liver problems etc.you name it.
Before the surgery I was not waking up of the bed night time
Before the surgery I was not suffering with any pains.
Before the surgery no kidney no liver problems at all.
Sex life was top of the range great.
I can't even lift up a toddler for 5 minutes.
Just imagine that.I lost my job as well.
Before I set off my house I always make plans to visit toilets.
Still there are leaks what an embarrassing situation!!!
I can make a massive list really .
It's a horrible feeling that I put my self into this situation I let them destroy my life.
But I'm the one guilty at first place to let them destroy my life.
Before the surgery I was leaving my house and was able to not to visit toilets for 5-6 hours now I do every 30 minutes maximum!!.
This Has been awesome..thank you...had my prostate out yesterday..
You're a woman women don't have prostate do you realize that do you know you just said you had your prostate taken out
So much wonderful information said so simply. The drawings really helped. Thanks.
Thanks so much for such a thorough explanation for all the questions I’ve had that I haven’t been able to get any straight answers to.
Thanks for this video, it was very helpful. You have a very nice personality for a Physical Therapist, and congrats on getting your DPT.
I just had the RALP w/ bi lateral nerve sparing surgery 12 days ago, and had my follow up 2 days ago. Had the CAT removed & was prepared for that. All my pathology was negative which was great news. Now for the Healing to begin & the rehab to come shortly.
I'm so glad that this was a helpful video for you, and I'm happy to learn that your pathology results came back negative! That's wonderful news! I hope that you're able to heal quickly and thank you for the kind words about my personality ❤️
@@PelvicEmpowerment ❤ Thank you!
This video is very accurate, I had a prostatectomy 5 years ago. Underwent 2 mos. of pevlic floor physio prior to surgery. Continued physio at 6 weeks post op. My only incontinence issue was from coughing and sneezing for about 6 months, otherwise full bladder control. Here are my results:
. penis about 1 inch shorter but only when flacid, full erection did not change materially
. was prescribed Cialis about 3 months post op. Can't say if it actually helped as erection ability was not a significant area of concern.
. saw a specialist in post op ED management. Recommended massaging penis to erection daily to promote blood flow and nerve reproduction. If you have a cooperative significant other this can be fun physio. Patience is a virtue as during recovery being able to reach orgasm can vary.
One thing I would recommend is seeing a wound care clinic to ensure surgical infection is managed properly. Do this from the beginning! I waited until a problem infection surfaced and it was the worst aspect of recovery.
I wish I had seen this a year ago. Thank you very much. Now , I can perhaps talk to my doctor.
An incredible presentation ! Your clients are incredibly lucky to have you as a therapist !
Awesome video. Thanks for the information. Peace
My surgery was 22 days ago. Thank you for explaining so well. I'm not sure of the location of the urinary sfinkter. Is the control value, compromised? Or not?
Very informative. Thank you.
You're so welcome, wishing you a speedy recovery 🧡
very helpful, very clear
i had a radical prostachtomy in 2016 to get rid of cancer
Thanks!
Is the possibility of a hernia after surgery , a permanent thing, or does that hernia risk go away after awhile?
Very informative video ♥️
But can you please tell me
What is the treatment for 15mm midline prostate cyst?
So glad you feel you learned something! Unfortunately, prostatic cysts are outside of my scope of practice and I cannot give individualized medical advice. I recommend speaking more with the physician (or his/her nurse practitioner or physician's assistant) who diagnosed you -- don't hesitate to follow-up with him/her and ask any and all questions you have regarding your health.
I wish you nothing but the best, and I hope you find the information you seek. If you have any general questions, please do not hesitate to reach out ♥️
Does the risk of a hernia after surgery diminish over time, or is it a constant thing to be dealt with?
Hi, your video on prostatectomy was very informative and thank you for that but I can't seem to find the link for therapist in my area. Would you mind sending it again?
I'm so glad this was a helpful video for you and that you're seeking therapy! That's wonderful, and I wish you the best in your healing. Here's the link: pelvicrehab.com/ ❤️
Great information. Before now I didn't know that the seminal vesicles are removed along with the prostate, during prostatectomy. No one told me about dry ejaculation but knowing that most of semen is created in the prostate, I was able to figure that out using logical deduction.
I feel compelled to add that I learned that just where the vas deferens ends, at the prostate, and "dumps" sperm into the urethra, is a widened area of the vas deferens called the _ampulla_ where sperm is stored. However I don't know how long it is stored there. Also, my understanding is that sperm and semen are not simply "dumped" into the urethra but that the vas deferens is a muscle whose spasmatic contraction produce ejaculation - called "spurts of fluid" in vernacular English. Also, I think that the process of connecting together the 2 ends of the urethra that are left hanging, after the piece of it that is inside the prostate is removed along with the prostate, is called "anastamosis" or something like that. If you correct any mistakes that I have made, I would appreciate it!
You're correct! There is an ampulla right were the vas deferens and bladder meet. Where the vas deferens and seminal vesicles meet, there is something called an "ejaculatory duct" that helps to propel ejaculate into the urethra, and "anastomosis" is the medical term for the surgical connection of two channels, like the surgical connection of the top and bottom of the urethra in a prostatectomy, or, a better known example might be the surgical connection of an artery when someone has an arterial blockage in their heart that leads to heart attack! Wishing you the best in your healing 🧡
I feel sorry for you 😞 as well as sorry for my self😥😢😭
I had prostate cancer 3 years ago and had it removed, after 12 months I was able to control most leakages except for the odd one when making a sudden movement which is annoying, as for dry orgasms this is not true I would describe my orgasms similar to a female orgasm where a female would squirt. Yes it’s urine even tho I do empty my bladder I can still squirt which can be quite powerful depending on the level of arousal I can also have just lubricant in my orgasm I am not sure of the mechanics for that to happen. Erections are hit and miss and not required for orgasm but they are better with viagra. Information was fairly good but training the pelvic floor was done the night before surgery. All in all the outcomes are only as good as the surgeon, I am very happy with my outcomes requiring no further treatment after a prostate cancer that was a Gleeson 9. Cheers
I used a hydro pump
Exactly, I had TURP, and was never told I wouldn’t have erections again 😡
Today 2024 surgery is LAST on the list. It takes EXTREMELY skilled team even then the complications are not compatible to other treatments.
1 Center of Excellence.
2. Experience,
3. Experience
4. ......
PS just yesterday I was told if you don't have one you can't really comment - just saying.
Had prostrate cancer - opted for radiation WHY 98% cure Surgery only 50% - higher side effects with surgery especially if it fails and then need to return 4 radiation
I need a Dr that looks like you,lol....wont be any wood issues,lol.
Aww, thanks! I hope you get to feeling better soon 🧡
I did not get an answer from this video: "Prostatectomy / Prostate Cancer Surgery:" I have NOT undergone prostatectomy. At 75 I am getting dry ejaculation all the time. Is it because of age? Has the production of semen completely dried up? Can I just relax about it and enjoy whatever little sensation of orgasm that I am getting? Also, erection is not very firm. Is there a remedy? I have never used Viagra. What do you advise?
I'm sorry you didn't find the information that you were seeking in this video, and I'm honored that you're comfortable asking me for advice! Unfortunately, I can only stand by my reply on my retrograde ejac*lation video and encourage you to seek the guidance of a healthcare provider who you trust, you knows you and your past medical history! Dry eja*ulation and ere*tile dysfunction are both conditions that I did not treat in the clinic, as they are outside of my scope of practice. I really do hope that you're able to find the guidance you are seeking elsewhere! I wish I could be more helpful, and I also wish you the best in your healing 🧡
Seven years still can’t get hard
I had stage 3 prostate cancer about 12 years ago and opted for a prostatectomy. No one really sat down and explained the possible side affects to me. I have experienced all of the 5 symptoms you described. Honestly, they are life changing for a man and can contribute to depression and loss of self confidence. Some problems have improved over the years and some have gotten worse.
Considering everything, would I repeat my decision? Yes indeed, I wasn’t ready to die. I wish that the following things had been provided to me:
1. I wish I had had better information up front
2. I Wish my doctor had directed me to counseling or support group
3. I wish my doctor had sent me to specialized physical therapy.
Agree 100%. Exactly same position. Stage 3 etc. Pelvic floor exercises PRE-OP should be mandatory. I saw a nurse who took me through some stuff beforehand but there is SO much going on in your head existentially that it was low on my list and I wish I had done more. I certainly needed to do a lot post surgery to regain control of my continence. Also women explaining to men how it should feel didn't work very well for me. I could not translate what they were saying I should be feeling with what was going on for me. I personally have had better success with instructions from male yoga/pilates/physical therapy instructors. Don't be afraid to seek out alternate sources if it isn't working for you. There will be someone/something that can help.
I find that anytime, especially a woman, describes these side effects, it is IMPOSSIBLE for her to know how a man will feel about them. How a man feels about masculinity, virility, confidence.....these are only superficially considered by medical folks and especially females who can. not relate to men's feelings. They can be well read on the topic scientifically, but will never actually know how a man will feel.
My father had radiation for his prostate cancer , 27 doses.. it fried his bladder.his last 5 years were miserable, I also had prostate cancer at 60. Went with robotic surgery. Complete removal, doc who did biopsy talked about all the negative possibilities, I went surgeon shopping. Wise decision, a good surgeon can save your life, a great surgeon can save everything else as well. Within 5 months, everything was back to normal. And this was 14 years ago. Surgeon selection ,do your research!!
"Everything went back to normal? !..." Meaning all 5 things she covered in her video? And if so, where on earth do you find such a brilliant urologist that us about to terminate your sexuality altogether? 🤔
@@1viva David mikkelson, Spokane valley,an artist.
How do you do your research in the Netherlands? My functions are not normal after 27 months.
Radiation does not “fry” bladders. That’s a ridiculous statement. It comes down to the quality of the radiologist. Maybe your father didn’t have the best available. Any research will indicate radiation has less harsh/permanent symptoms than surgery, many outcomes of which are permanent. Both options achieve similar successes in terms of killing the cancer. You say “everything returned to normal” after your surgery. You must be unique.
@@michaelmouse4002Watchful waiting has the same results as treating.
I had a prostatectomy done seven years ago at a renowned hospital in Nashville TN and had the da Vinci surgery done, first and foremost I have a few of the symptoms you explained but they are very minor. Of course, the lack of ejaculation and the every-now-and-then leakage is something I can deal with, but other than that it's pretty normal. My recovery time was basically pretty quick due to the lack of being filleted open with just five small holes to deal with. I spent one night in the hospital and was released the next morning to start my recovery at home. I can attest though that the catheter wasn't any fun but had it removed ten days later. I would highly recommend the robotic-assisted minimally invasive surgery. Might be time to update your video.
our circumstances seem similar would you mind sharing your stage and gleason score if that is not too intrusive? I had davinci surgery 3 months ago and recovering now.
Firstly I'm glad you are well! Alive and healthy are most important. However, many men will wait until they come up with a procedure that is less humiliating and emasculating before they consider this sort of thing. I know there have been advancements, just not enough of them.
Hello Doctor! Thank you very much for making this video. I learned a lot! You answered a few questions that I had. Your drawing was very helpful and well done. Most importantly, thanks for being thoughtful and kind. I am at one year post radical robotic prostatectomy. I still have a bit of urine leakage. I’m doing kegels and they have really helped me. Those kegel exercises work! Oh yes they do! Again, I thank you for your expert assistance. I have subscribed. Phil -Pittsburgh
Lmk if no
😊
I am one of 12 siblings including 6 brothers. At 58 was diagnosed with prostate cancer. I had surgery to remove it. My paternal grandfather died from it, as far as the rest of the family, at the time, nothing was known to me. My father in law had died from it. My son and i have the same GP. He started testing my son at 34 years of age. He developed the cancer at 51. Also two fo my brothers also developed prostate cancer. I endured every thing discussed in the video expect the herina and after 20 years learned about some new therapy and now am trying it. My message is, boys if it runs in your family get your self tested.
Thank you so much. My PSA was very high, an increase from the previous one. I've my biopsy procedure and see my urologist this week for results. I have more than 50% chance of cancer, so wish me luck.
Consider radiation treatment. Get educated.
Look at all options. Good luck.
Well, how you doing?
Thanks a million for your expertise and clearly explanation , I had the surgery done 6 months ago and is currently doing the pelvis exercise on a daily basis, I almost there and can’t wait to be fully recover .
Thank again, I’ll begin to follow you on this media and learn more important information that I can share .🙏🏾🙏🏾🙏🏾💯💯💯
Leroy .
Thank you very much for your extremely informative video - I really learned a lot and appreciate your taking the time to give such a detailed and clear explanation. I am looking at a radical robotic prostatectomy not too far down the track, so really valued your knowledge and recommendations. I feel so much more comfortable now having this knowledge. Well done.
Thanks gor this, I’m 58 and 4 weeks post op, I learned something today (I’m doing ok, continence is getting better!)
On Dec. 9, 2023, I will be two years post prostatectomy. I must say, your information is excellent and spot on. I wish I had this information prior to the surgery. I would have still had the surgery but it would be nice to know what to expect afterwards. Thank you for the excellent video and information.
There seems to be two medical options about post prostatectomy sex health: 1) Basically doing no proactive actions and wait 24-36 months then started ED treatment as needed; or, 2) Start some sort of physical proactive activity immediately after surgery to avoid atrophy issues. So, which option is most effective?
Just awesome! Thank you!😊
Thanks doctor! This is very enlightening. I wish this information is given to patients before surgery.
Congratulations, this is very well explained. I have had this surgery for over a year and it is going very well. The surgery was robotic and the nerves were spared. As you explain, they removed my prostate, my seminal vesicles and my vas deferens and the only effect I have on this day is # 2, dry ejaculation. It is very surprising at the beginning because there are all the same powerful rhythmic muscular contractions as to expel the semen but absolutely nothing comes out of the penis but I am used to it. The sensations are less strong because we do not feel the liquid come out at this time but the sexual pleasure is still present without prostate.
I’m so glad you enjoyed the video, and I’m so happy your surgery was such a success! Thank you for sharing your experience - I’m hopeful someone reading the comments will find yours and be comforted ❤️ wishing you only the best!
@@PelvicEmpowerment Thank you for your encouragement! Many men hesitate to talk about these effects that affect our manhood, I hope it can help
According to your comment you seem very happy with the situation!
@@Rikki-lh2mw I consider myself very lucky
@@pierrepierre6843 Hello mate I Had the surgery as well mate and my life has been changed badly.Last year I admitted to A&E twice this year so far 6 times.
Girl friend became a X,feeling no man anymore, Still 3 years after the operation I get pains all over my body,before the surgery operation I never walked into a hospital but now I go regularly!!
Because use of Catheter I got a kidney infection, liver problems etc.you name it.
Before the surgery I was not waking up of the bed night time
Before the surgery I was not suffering with any pains.
Before the surgery no kidney no liver problems at all.
Sex life was top of the range great.
I can't even lift up a toddler for 5 minutes.
Just imagine that.I lost my job as well.
Before I set off my house I always make plans to visit toilets.
Still there are leaks what an embarrassing situation!!!
I can make a massive list really .
It's a horrible feeling that I put my self into this situation I let them destroy my life.
But I'm the one guilty at first place to let them destroy my life.
I don't include shortening of my penis.
Before the surgery I was leaving my house and was able to not to visit toilets for 5-6 hours now I do every 30 minutes maximum..
As I said at the beginning please try hormon therapy Radiotherapy whatever but do not go ahead with Surgery operation option.
Ps.if you go ahead with Robotic surgery operation than you will become a robot rest of your life you will have to do kegel exercises!
Public floor!this is what I tell everyone!
Well done young lady! Thanks
You did a great job explaining what I'm going through. Thank you.
Best video I've seen so far and you explain everything in easy to understand terms and did a great job on the picture you Drew
I also had a prostatectomy i have had no problems. With incontinent not after removal of the catheter.
But i did notice a bid smaller penis and since only ,and 6 month after, i still have not had erection . But there is still hope than thank for video.
Excellent advice my surgeon explained everything you mentioned except the “shortening” effect. Probably because many men would opt for a different treatment rather than loose a half inch.
A half inch, what the hell I can’t afford to lose that much
I had mine taken out I have all five side effects but I’m still alive
As a two time PC patient this explanation was extremely well done. Many thanks
Loss in length makes it difficult to use public toilets. Firstly 'finding it' and then secondly getting out through the zip far enough to not wet the front of your trousers. I have recently found that 10mg tablets of Tadalafil (Cialis) (available over the counter) taken every three or four days considerably helps the 'soft' length of the penis helping with the above problem.
I use the corner urinal, undo and drop my trousers a bit, get it fully out and pee. No problems using my new technique rather than trying to pee through an underware slot, learned the hard way!
Hey, I remeber doing that when wearing my jumpsuit bottoms (no zip) I will have a practice with me trousers. Must admit it would save a lot of money Ha.@@elkiton
I am 21 months post surgery and all of my bathroom visits are "sit downs" just because trying to maneuver the pad in my underwear and undoing everything makes a stand up inconvenient.
@@kb3byu yes, that sitting down works well and was my technique for best part of 2 years or so.... Avoiding accidents was the main thing.
Now at 5 years on and a lot of gym training, I use a urinal, just dropping my trousers.
I did not think I would ever get to this stage, having heard that at the 18 month point that was 90% of the best possible achievement, that extra 5% or so came slowlyfor me
Thank you very much for providing some presurgery information. Men who re contending with the issue of Prostate cancer have a lot of very complicated information to sort through. One very important one is quality of life after any procedure they select. The diff
You're so right, the diagnosis in and of itself can be so heavy and daunting, let alone sorting through all of the necessary information to make treatment decisions.
I'm really glad this video was helpful for you, and I wish you the best in your health 💛
Hi Doctor, Thank you so much for explaining the loss of penis length. I am 18 years post op and was never told about loseing lenght. I was told that my prostate was mad at something because it was very swollen. I lost more that a little length.
I have been lucky in having no incontinence, untill this year. It is light and I do kegels which have helped. Again,Thank You.
Same with me. I learned more in this video today than from my doctor has explained in 18 years. I wondered what the heck happened.
Nice presentation, good information. I posted my journey over the past five years on you tube and have helped a lot of men all over the globe. The more information the easier it is to make some of the hard decisions before or after surgery.
Thanks for explaining all symptoms so clearly
I had what I was told was a turp surgery, yet three of the four things you spoke of for prostrate removal I have. Such, ED, dry orgasm, bladder leakage. I have at best a 30% stiffness in the penis. It’s been 14 months since the surgery, is achieving a full erection and wet orgasm a thing of the past?
Yep...its shorter😢...but orgasm is ok but dry. Leaking is ok....waiting for erection to come back... six months since surgery.
Thank you for the information. My father had a prostate cancer removal surgery, and instead of urinary leakage, he has hard time urinating. It seems that urethra gets blocked and he has to get a cathedral placed every time it's block. I'm not sure why this happens and I don't see any information on youtube except Urinary incontinence. I'd appreciate it very much if you could shed some light in understanding what's going on with him. Thank you!
I’m so sorry to hear about what’s going on with your father. It’s hard to say what is causing this difficulty urinating. While I cannot give individualized medical advice, I can share some ideas!
It could be urethral scarring from the surgery causing a narrowing of his urethra and therefore difficulty urinating... or perhaps it has to do with the muscles around his urethra spasming. Sometimes, after surgery, muscles tighten to protect you, and those muscles can sometimes forget to let go even when the threat (surgery) has dissipated. Scarring can also affect muscles’ ability to move, perhaps urethral scarring is affecting his urinary sphincter?
I’m not entirely sure, but he may benefit from pelvic physical therapy. A good pelvic PT would be able to assess his pelvic floor and at least get an idea as to whether or not some manual therapy could help decrease muscle spasm or improve scar tissue flexibility if either of those are the reason behind his difficulty urinating.
If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com
I wish I could be more helpful! Don’t hesitate to reach out with any other questions, and I wish you both the very best ❤️
64years, PSA 9, MRI pirads5, biopsy 4+3, Da Vinci prostata.removing incl nodes, finally Gleason 4+3 =7, PSA after 1month 0.02. I had 7 (seven) uro opinions, all said will be mistake if i donnt remove prostata...and two pathologic biopsy opinions😅..
Just one question i had my prostate removed cause of cancer been almost 22 months now i understand the dry orgasm no more sperm and it's true but during sex of masturbation urine squirts just like if it was sperm a lot it. why's that. thank you...
very nice demonstration i m medical dr going to have prostate operation got good informations ,, before operation in oct 2024 ,now it is almost due operation of it , lets see how god may save from complication god bless me
Something important that I either missed or wasn't addressed are the symptoms of prostate cancer. How does a man even suspect he has a problem? How do you know you need medical attention?
My cancer proceeded over 5 years. Only symptom during this time was a need to visit the loo more frequently...... Until suddenly I needed to run or get caught short. By then it was too late, radical surgery, but it had spread to lymph nodes so no cure.
This is the most clear and informative video that I have ever seen on this subject. A must watch for anyone who needs to go through the procedure.
Very helpful information about what to possibly expect after a prostatectomy.
Excellent education. Thank you very much.
*OMFG Loss of Penile Length NOOOO!*
Hopefully this message will help ease the minds of any men facing the same concerns I did.
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 and 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... 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.*
Much Love, Best Fortune and God Bless Y'all!!!
Thank you so, so much for your detailed, open, and informative comment! I really appreciate your honesty, and you taking the time to share your experience. I am so hopeful that your story will help other people who may be getting a prostatectomy feel more at ease/less nervous about potential penile length loss 🧡
Thank you so much again, and I'm so glad that a year out of surgery you're feeling at home with your "Trojan Horse," and that you and wife are having a fulfilling sex life 🤗
@@PelvicEmpowerment LMAO!
Thank you Doctor, I appreciate your reply. During my pre-operative freak out period I remembered spending so much time looking for uplifting post operative comments to reassure me that I was going to be okay, and surprisingly there weren't very many from actual experience, so I wanted to write what would have been my ideal "Comfort & Reassurance testimony from real life first person experience." Quite naturally of course my inner ten year old boy couldn't resist throwing in some motivational penis names in hopes of conveying that there's no need to feel ashamed of Prostate Cancer or RP surgery and show the reader that hey look this guy lost 3/8 to 1/2 inch down low, but didn't lose any length off his sense of humor about it and trust me, I am by no means one of the gifted men that can afford to lose any length at all, and I'm usually a pessimistic, glass half empty guy so that's saying a lot.
Again thank you for your reply Doctor, I hope it gives people peace of mind that *the worst part about RP is in your own mind, everything else is easy.
Best of all, the rehab is fun!*
I even got my penile rehab doctor to write me a real prescription for it so I could frame it and hang it on the wall in the bathroom!! No BS it's really on the wall in the bathroom.
with a placard frame that reads:"To think I used to do this for recreation and now it's Therapeutic."
You have to admit that's not a bad ending for a story that began with the words: "I'm sorry to inform you that you have stage Two Prostate Cancer."
Thanks again Doc. ;-P
@@Noteven0 Aww, well I'm so happy you provided the uplifting, "comfort & reassurance testimony from real life first person experience" post for others that a past version of yourself would've so appreciated. And that you had some fun with your inner child while you made it 🤗
And I agree, most of the worst things live in our own minds, I've found!
@@Noteven0 thanks for your detailed post.
How long did it take for your ED to disappear?Are you on injections and or pills?
I’m wondering if perhaps those things are responsible for your endurance rather than the surgery.
My biggest fear of RP is ED; I’m surprised to hear that you seem not to have problems. I’m stage 2B also; One of my tumors is said to have nerve involvement. Do you recall any of your details?
I’d be curious to know the name/location of your doctor.
How long after surgery did it take for you to feel an orgasm?
Thank you for this clear explanation. This is an excellent video and very helpful.
I had prostate removal about three years ago. I had some, but not all, of the symptoms described. Significant loss of penis length (about two inches) and some difficulty achieving an erection, but no real urinary incontiinence after the first couple of weeks. I can still have sex, but it isn't as much fun now.
Excellent and informative, thank you! Prostatectomy doesn't sound that great unless absolutely necessary!
Excellent presentation.
Picky point on anatomy: the vas deferens travels up from the epididymus and goes anterior to the pelvis bone before it enters the abdomen (not behind it via the pelvic canal).
Thank you. I have the decision coming up on what to do. This is very helpful.
Thank you! Your information was very informative and this information was only briefly explained. You do a much better job.
Superb presentation of what the surgery entailed with the diagram. I'm not really sure i understood the dynamics other than a prostate removal. I still have a catheter after 7 weeks due to kidney closure during the op and anastomic leak but it is coming out this week. Your advice is much appreciated as regards pelvic floor exercise needs and things to watch out for. Kind regards from the UK.
I'm so glad that this video helped you understand the surgery and what to expect, but I'm so sorry to learn that you're experiencing some complications. I really hope that the catheter removal goes well and that this is your only bump in the healing road! Wishing you an otherwise speedy recovery and all fo the best ❤️
Thank you for the detailed explanation and clarity.
i have been threw prostaectomy on jan/2023. ,due to agressive cancer in the prostate organ . i am steel using diapers,following uncontroleed constant leek.steel no errection signs. my suggestion to healthy farmers like me my age ,(75). in case of even most agressive cancer diagnosis.please choose the radiology over any modern robotic surgery .like de vinci device or others. remmeber remooving the prostate robotically is drastic and final,choosing radiation option enables our complex wondrful body a better chance to recover and overcome the damage of radiation.emil
On the other hand radiology carries it’s own risks. Those risks then limit your surgery options. If you have an enlarged prostrate and also cancer, radiation can kill the cancer, but you will still have the enlarged prostrate and it’s issue. I had my surgery done in July and use an occasional pad. Everybody is different, so one persons experience will be different than another.
Great insights. No man is right or wrong for his decision.
After PSA of 9 and biopsy of 3+4=7, I chose radiation over surgery. I experienced urinary difficulties, ED, and dry ejaculate during 45 radiation treatments and hormone therapy. However ED stopped, ejaculation returned, and urinary flow returned 3-4 months after treatment stopped. No incontinence at all. Radiation Oncologist also told me that few patients need future BPH treatments after radiation. We’ll see…..
Very happy with my results and my blessings.
Best to all going through this.
My urologist (of course, he's a surgeon) agrees with your comments. With cancer and an enlarged prostate, sometimes surgical removal is better, and paves the way for future post surgery radiation (if ever needed). He claims that radiation really 'fries' the prostate area, making it very difficult and complicated to remove (if needed) in the future. Again, it's a personal choice depending on your circumstances.
If you’ve not yet had surgery please investigate CyberKnife. I cancelled my operation to have it instead. It’s entirely unlike most current radiotherapy techniques and is millimetre accurate. I’m having hormone treatment too, but I’m aiming to come out at the other end virtually unscathed. Surgery is from the past; now it’s CyberKnife
Thank you very much Madame for this great video+,info
Had I watched it 3 years ago than I would have save my life.
Sadly I'm the one to being blamed for the mess.
You are a great human being.
Regards from England.
I'm so glad that this video/information was helpful for you, but I'm so sorry to learn that you're having complications post prostatectomy. Please don't give up on your body's ability to heal, and I hope that you're able to continuing making positive progress in your recovery 🧡
Very good stuff.
Excellent video... really pin-pointing things that the doctors tend to gloss over.
I'm so glad it was helpful for you! Wishing you the best in your healing/recovery 💛
What is so horrible about death that you’d be willing to put yourself through this? I mean, we all have to go sometime anyway.
The horrifying pain you would endure?
@@Formula-602 Well, yes, that’s what I’m saying.
Post operative pain, nothing much to complain about.
Hi Emily. Let me address your comment respectfully from my point of view. As I write this, I am five weeks post salvage prostatectomy surgery. This is my second bout with prostate cancer. I was treated in 2020 with radiation which failed. I am 68 years old, quite fit, and very active. If not for a blood test and an MRI I never would’ve suspected that my cancer was back and aggressive. I have a great quality of life. I’ve been married to the love of my life for 44 years. I have two amazing adult sons. I’m blessed with dozens of close friends. I work part time now and then and the work I do is of substantial benefit to others. I enjoy the outdoors and have a lot of interests as well as new things that I want to do before I check out of this world. Why would I want to give that up? Is recovery struggle right now? At times, yes. Might I need additional treatment like radiation and hormone therapy, yes. And lastly, if I can enjoy most of what I did before, will it all be worth it? Absolutely. My eye is on the prize. I hope you wish me luck and it’s my wish that if you ever face a serious challenge in life you have the strength to face it bravely and not give up.
@@spitfirekid1 You have a great life, and I salute you for taking reasonable measures to keep your life going for as long as possible in your fight against cancer. A heartfelt “good luck” to you!
I suppose everyone’s situation is unique and that personal situations change over time as well. I had a sibling who died last summer after many recurring battles with esophageal cancer. He, much like you, lived life with high expectations; he achieved so much right until the end. But he made the decision in the last year to forego any further surgeries and chemos because of the havoc they wreaked on him. That final year he actually felt better than he’d felt in previous years, and he was able to engage in old interests and hobbies thanks to his lessened suffering. He did what was right for himself after battling disease for many years, and I respect his decision as much as I respect your decision to keep going forward! 🙂
Like usual this has been very informative did not realize the surgery was so drastic will think long time before I have this done. Thanks so much. Rather take what time God gives me.Love you wish I new about your last statement had 2 knee replacements on the same knee sorry for such a long reply.
Don't apologize for a long comment! I'm really glad this was a helpful video for you, and I'm glad that, should you decide to have/not to have this surgery, you'll be well informed about the potential outcomes -- I wish this were the case universally 💛
Two knee replacements on the same knee?? I hope you've since healed and are able to do all of things you want to be able to!
Wow... Thanks Sooo Much ..Your presentation was Special and Much Needed...Im 64and out of the blue diagnosed with a Localised Intermediate Prostate Cancer! Im Fit n Healthy and Been Lifelong Surfer ...My Urologist wants to perform a Radical Laparoscopic Removal. I have also visited a Radiologist and he has sorted a Plan....Basically like everyone Just so undecided mainly with the SIDE EFFECTS!!! Cheers from Australia. And my Urologist has not mentioned the Negatives i can expect from Surgery...And never offered another opinion.
This video explains a lot in simple terms that most should be able to understand. Personally, I had my prostatectomy in 2011 and remember my urologist discussing ED, incontinence, dry orgasms and the possibility of hernias post-surgery. The only thing I don't remember him discussing with me was anything about penis shrinkage. Fast forward to now and the current recurrence of my cancer, I find myself on hormone blockers as my only treatment option (since I had radiation before) and guess what they cause...further penis shrinkage but also for more anatomical torture, my testicles are shrinking too. 😢
Thank You ! You've shared so much more info than my Neurologist did especially after my Radical Robotic-Assisted Prostatectomy a month ago. The schematic description was very informative, & how you followed through with highliner. As for my incontinence, I feel the results are fantastic I may have a slight dribble when I sneeze or cough & now if I get the urge to relieve myself, I can withhold much better than in the first few days. Down to the absorbent pad now, no more Depends underwear.👍Now, I need to keep an eye out for hernia! it's been a month but the navel incision is very hard all along the cut & still hasn't healed completely. The other 5 incisions are all doing fine with no issues
My Hospital in UK seems ‘proud’ to say there’s is Robotic Surgery….does this make any difference?
I have no treatment plan yet as early days but the only thing NHS will offer is Active Surveillance or radical procedures.
I had my Prostate removed in August of 2021 and I had not been with anyone for like 3 years before that . I noticed my penis was shrinking before my Prostatectomy. Now I am over 2 years after surgery . I have constipation or loose stools all the time and once in a while it will come out normal . I have not had an erection for the whole time . I have taken Cialis and Viagra and even bought some CBD Gummies and nothing works .
My husband had prostatectomy 16 years ago . He’s having bleeding now from his penis with severe pain . Why ?
T.U.R.P should be discussed so men don't confuse this with Prostatectomy , & end up suffering for years thinking the outcome will be the same. Also tissue removed can, & should be biopsied to look at changes in the cells ,as this will give you what urgency level you will be looking at should you need a repeat procedure in 8 to 10 years .
Explain minor prostatectomy, pros and cons,dangers. Mine went very well 7 years ago. I pee like a horse, sexual function is outstanding, normal. Medications they prescribed before,and after had bad side effects, thanks.
I am 66 yrs in age. I have had 2 hernia surgeries. Some 5 years ago. I now have an enlarged prostate, not sure if its cancerous. In 2 months hence I will recheck my condition. If i have to do removal, will the previous surgeries affect the removal? Please explain. Thanks. I am grateful for your professional teaching on prostate surgery post expectations.
Exactly video
Hi, I am very glad that I ran upon this video of you. How can I get in touch with you. I REALLY! need to talk to you containing this subject that you just talked about. Are there a way that we can talk by phone? Please! Please! reach back out to me.
Thanks, Howard