3775 Members
4 Forums
666 Topics
2373 Posts
Max Online: 50 @ 10/09/08 12:00 AM
|
|
|
#184 - 09/30/04 08:36 AM
Penile rehabilitation after Prostate surgery
[Re: ]
|
limpnoodle
New Forum Member
Registered: 09/29/04
Posts: 2
|
Offline
|
|
I'm 65 years old and I bought your 2 inch diameter starter kit based on
information at a web site that I would like to share with your potential
customers that are in the same boat as myself. I had a Nerve Sparing
Radical Retropubic Prostatectomy (NSRRP) about 7 months ago and my
goal is to be able to have a spontaneous erection. I have been taking a
20mg Cialis (the weekend pill) as recommended by my Urologist / Surgeon every third day since about 2 weeks after surgery. I also take generic Viagra on the other two days and occasionally on the same day as the Cialis. To help minimize the financial burden I buy generic drugs from overseas. Prior to surgery this drug schedule would have produced more erections than could posibly be used. Now, however, the best I can do is about 1/2 to 2/3 of an erection after a quantity of masterbation that amounts to a good physical workout. Theoretically, if the nerves and blood vessels have been spared a person has a fighting chance at regaining a spontaneous erection.
The web article is accessed at http://www.medcoforum.com/reprint/urology.htm
It's actually at http://www.medcoforum.com/pdf/endocare_vaccum.pdf
This article is written by J. Douglas Trapp M.D. and speaks of penile rehabilitation via vaccum therapy. My Urologist said that anything that gets blood to that area will help recovery hence his recommendation of Cialis. I plan to discuss my pump purchase with him on my next visit.
Another interesting article is to be found at http://www.docguide.com that is titled "Postoperative Nightly Sildenafil (Viagra) Promotes Erectile Function Post-prostatectomy. It talks about the good results of a study done on men that have had an NSRRP.
Dr. Joel Kaplan recommends using the pump on an erect penis and NOT using Viagra. Obviously, a victim of NSRRP can't get an erection prior to pumping and I have personally not yet seen any adverse affects when pumping with a full load of Cialis and Viagra. I keep the pressure in the green safty area and usually 5 or less. I raise and lower the pressure frequently in hopes of getting a more effective therapy. I start slow to give my penis an opportunity to expand to fill the cylinder, otherwise,
there is more of an opportunity to try to painfully suck a testicle into the
cylinder.
Another pleasant and perhaps theraputic device is an "Hitachi Magic Wand". This is a high quality massager that the ladies use to tickle their fancy. It gan get an NSRRP victim OFF without going through a triathalon style masterbation. Used after you have your pecker pumped, isn't as good as a woman but it's better than a knot hole. If nothing else its good mental tharapy and gives hope that someday you will return to something approaching normal.
Now, I have a question. Even though I have only been pumping for a couple of weeks I suspect I might benifit from a larger cylinder. Prior to surgery my penis maxed out at about 6 and 7/8 long and 5 and 5/8 girth. During surgery they remove the length of urethra that passes through the prostate plus a bit at each end exiting the prostate. This removed urethra will shorten the NSRRP penis and, I think, is another reason to use a pump. I can pump up to 7 and 1/8 inches long and it totally stuffs the 2" diameter cylinder for about the first 4 inches. So, I am wondering if the above information suggests that I could/should use a larger cylinder. What do you recommend?
|
|
Top
|
|
|
|
|
#185 - 10/04/04 11:00 PM
Re: Penile rehabilitation after Prostate surgery
[Re: ]
|
kaluapig
Nick
Super Pumper
Registered: 01/05/04
Posts: 336
Loc: US
|
|
Offline
|
|
Sir,
Thanks for the great information!
To answer the main question about a larger cylinder size is that you are absolutely right. The best fit for you is actually a 2.25" x 9" cylinder.
This will give you enough room so that the shaft does not touch the walls.
You mentioned in your post that you are experiencing your testicles being smashed against the outside of the cylinder walls. How I combat this is two ways (depending on how prepped I want to get).
The long way to do it is to find some gauss and wrap it around the scrotum (on the outside of the cylinder). Most of the times, the cylinder will suck only the part of the scrotum up to the gauss. The drawback to this is that sometimes that gauss can get a bit tight and taking it off, believe it or not, is kinda uncomfortable (leaves your scrotum a bit tender where the gauss meets it).
The second way, a.k.a. the lazy man way, is to simply hold your scrotum with your hand so that it doesn't get sucked into the cylinder for the first minute or so of pumping. For some strange reason, when you let go of your scrotum (after a period of time), the pump does not suck in the extra skin.
The other thing that I wasn't too clear about is the reason for using the pump. Was it to get an erection or to actually treat ED to someday obtain spontaneous erections?
The reason I am asking is that the pump that you now have is actually FDA cleared to artificially induce an erection but is not proven in any way to treat ED for spontaneous erections.
Therefore, we cannot say what kind of results you will have for the latter.
But if it were to simply obtain an erection, you have the right equipment. All you will need in addition to this system is a constrictor ring, or what I call a glorified rubber band. You simply attach this rubber band around the outside of the cylinder before you pump. Start pumping to a point where you gain an erection. Slip the rubber band off the cylinder onto the base of your penis for the purpose of keeping the blood in the shaft and Voila! You are good to go! --judging from you post and the reference material you have provided, you probably already do this---
Lastly, I'd be more than happy to ask team Kaplan any questions you may have regarding your situation and post it accordingly.
Let me know!
Thanks,
Nick
service@JNOUTLET.com
|
|
Top
|
|
|
|
|
#186 - 10/06/04 08:26 AM
Reason to use pump
[Re: ]
|
limpnoodle
New Forum Member
Registered: 09/29/04
Posts: 2
|
|
Offline
|
|
Thanks for you informative response.
My primary reasons to pump is to help maximize the possibility of someday getting spontaneous erections, minimize penile shortening and
minimize the possibility of suffering "corporal fibrosis". Corporal fibrosis
is a product of "if you don't use it you loose it" and is part of the reason for penile shortening. The other part is cutting out a chunk of urethra but the remaining urethra can be stretched and pumping causes stretching.
All three of these problems are mentioned in the article that was authored by J. Douglas Trapp M.D. He speaks of enhancing penile oxygenation
as a component relating to "increase chances of recovery of rigid erections". This is may be more theory than proven therapy at this time
but I am not willing to sit around and do nothing.
The taking of drugs like Viagra and Cialis have been involved in studies that indicate that getting blood to that area helps to recover sexual function. As I said before, my Urologist prescribed Cialis for that purpose and said "anything that gets blood to that area is good".
Pumping definitely gets blood to that area and blood is probably the only way to oxygenate the tissue.
|
|
Top
|
|
|
|
|
#187 - 10/06/04 11:19 PM
Re: Penile rehabilitation after Prostate surgery
[Re: ]
|
kaluapig
Nick
Super Pumper
Registered: 01/05/04
Posts: 336
Loc: US
|
|
Offline
|
|
Sir,
Thanks for the informative response.
Though I cannot comment much due to your purpose of pumping, I applaude your proactive intentions and wish you the best in your endevours.
What I am going to do in the near future (at least by mid next week) is engage Dr Barry "Joel" Kaplan on your issue. Though I cannot speak for him, I'll do my best.
1) It is totally up to him, or should I say his corporation, whether he wants to even look at your case (legal issues).
2) His responses and guidance to you (if any) will most likely not be published on this forum (obvious legal & privacy concerns).
But I will still try to engage this issue with him because it would benefit all of us, even if it is an "informal" study.
I look forward to making this happen and I will get back to you on this.
If you don't mind, please pass me your email.
Thanks,
Nick
JN OUTLET
|
|
Top
|
|
|
|
|
|
|
by 13cm_erect
|
by wayne
|
by JN Outlet
|
by 13cm_erect
|
by Motorat
|
|
|
