had prostate cancer had the capsule removed surgery October 2007, been on the alprosdil as I have not healedd to have an erection on my own is there any reason for this as the urologist said that it takes a while as the nerves has to reconnect?
It depends on what happened to the nerves during surgery.
The cavernous nerves are two tiny nerves situated alongside the prostate gland that carry signals to the penis to fill with blood and become erect. In some cases, the surgeon is able to leave these nerves intact, and possibly preserve erectile function. But for technical reasons, a portion of one or both may need to be removed. Often the nerves are too close to the cancer itself to be spared.
Some men—about one-third of those with just one nerve left intact—are able to have an erection; this depends on factors such as age and sexual function before surgery. When both nerves are severed, impotence is virtually certain.
If you are having problems Alprostadil can be injected into the base of the penis 5 to 10 minutes before intercourse. You should see your doctor if the alprostadil causes your erect penis to curve.
- Alprostadil Information for Consumers
- Alprostadil Information for Healthcare Professionals (includes dosage details)
- Side Effects of Alprostadil (detailed)
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