u/kayceemoguy

Needing to get a cracked bracket removed/repaired on my frame/suspension. Any recommendations for a decent place in or near Lee’s Summit? Thanks in advance.

TLDR-Any special advice on how to get the “DAILY” Cialis therapy vs 10/mo typical Rx?

Okay guys-I’m right at 6 mo post RALP(nerve sparing)…60 yrs old. Everything has been going-okay-for the situation overall. No incontinence, good PSA so far, etc. ED seems to be SLOWLY subsiding. So here’s the question:

Do I need to discuss a Cialis regimen in some kind of specific terms like “penile rehab” vs just plain ol’ ED therapy?

BACKGROUND:

The reason for the question is that when I talked about “meds” with my surgeon at my 3 mo follow up, he said to wait until I had some “activity” down there before any Cialis/Viagra. You know, let the nerves rest…

I’m not a super aggressive advocate, and I do trust my doc, so I sort of just accepted that. But I have been in this group almost since the beginning and value the insight you all have almost as much as my doc. I have seen so many of you talk about how you were advised to start pumping and using DAILY Cialis almost immediately (anywhere from post catheter to 6 wks post op)

Based on that, for the last few months, I have been pumping a few days a week, and the wife and I have been exploring all the “new and exciting” ways of having fun. (Mostly thanks to the posts on here btw)

Anyway, as much as I (and she) would like to get back as close to “normal” as possible, I am really most concerned with mitigating the turtling and keeping the atrophy to a minimum, improving blood flow, etc. I am no where near ready for any kind of penetration, even when I do have something happening. IYKYK, right?

But when I had my 6 mo with the PA the other day, (not my surgeon) she wrote me a script for 10 pills/mo of Cialis for use as “prep for sexual activity.” I was expecting a DAILY regimen.

When I brought meds up during the session, I positioned my inquiry in terms of keeping the blood flowing etc. She quickly “corrected” me by “explaining” that the surgery didn’t affect blood flow, rather just shocked the nerves….

I guess I should’ve known that she was thinking I was looking for just a “fee times a month” attempt at PIV sex vs a daily enhancement/therapy.

So, again, what did you all say to get the “daily” Cialis for the penile rehab vs the “use before your hot date” type of deal?

I am going to MyChart a question to the surgeon about this, but wanted to gather some insight and possible best practice words to use.

Sorry for the long post. Thanks in advance for any advice.

Coming up on 3 mos post RALP (nerve sparing) and was wondering what other’s experience has been regarding WHEN those nerves are gonna wake back up? And, how did it happen. Was it like just one day “it’s back!” Or, was it gradual?

At 59, prior to surgery, I was certainly NOT like 18yo self, but I was functional. Now, even with the help of a pump and ring, I don’t stay hard once they are removed.

Anyway, I’ve read where guys get it back pretty quickly and then there are the ones who take 18 mos+. I guess I am just more curious of when you realized it was getting better.

Thanks in advance for any feedback.