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Hi ,

The Da Vinci RP may have caused less surgical damage,

but removing the prostate and seminal vesicles leaves one

with the same side effects as the open RP.

The prostate and seminal vesicles produce most of the

ejaculate. The prostate has both muscle and glandular

tissue. At orgasm the prostate contracts to force the

ejaculate out. This is a part of the pleasure of sex that

I have missed for the last 15 years.

Yes, I am glad that I am still alive- though with my Gleason

of 3+2 and a PSA of 10.2 I might well have still been alive

if I had chosen Watchful Waiting instead of surgery.

I still must wear pads due to incontinence. I think that is

probably as bad or worse than the impotence. It can be

very embarrassing if the pads become soaked and leak

through to one's clothing.

I strongly believe that there are better alternatives to treat

PCa other than surgery. If you are newly diagnosed, before

you climb up on that table, please take the time to research

all your alternatives. Remember that whatever you choose

will be what you will have to live with the rest of your life.

I have doubts about the 87% figure you listed for those

who have sex at six months. It may be possible if the

person is using a Vacuum Erection Device or injections.

But I seriously doubt that 87% of men are potent at six

months without a Viagra like drug of some other aid.

And for me and a lot of other men, to have an orgasm

takes a whole lot of stimulation.

I wish you all the bestAubrey Pilgrim, DC (Ret.) Author ofA Revolutionary Approach to Prostate Cancer-Read the original book for FREE at: http://www.prostatepointers.org/prostate/lay/apilgrim/Read new edition for FREE at http://www.cancer.prostate-help.org/capilgr.htmDr. E. Crawford is co-author of the revision

I wish there was this much attention/activity on the sites forimpotence and penile implants. This site has tons of great postings,and lots of very knowledgeable folks. Keep up the good work. Wish Ihad known of this 2 years ago, although I did my research other ways,and feel like I knew all I needed to in order to deal with my PCa in away that was best suited to me. Only disappointment is falling outsidethe 87% who have intercourse at 6mos. Oh well, my decision forDaVinci was in part based on knowledge that the implant offered a goodsolution should impotence be ongoing. Thanks again for all the hard work and info here. I enjoy reading.See AOL's top rated recipes and easy ways to stay in shape for winter.

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I too had had robotic prostatectomy. Somehow, I anticipated that since the procedure is somewhat 'less invasive', I'd recover more quickly, and I'd also reduce the risk of incontinence and ed. SURPRISE! My expectations collided with reality! That took some adjustment.

Gratefully, I did have intercourse within 6 months, thanx to good meds. Continence 95% restored mid-Dec 07 with AdVance Sling. I'm still quite tender and sensitive around the incision sites, but that will be gone within another couple weeks.

Best to you and the group in the new year.

Hans

Lots of Activity here!!

I wish there was this much attention/activity on the sites forimpotence and penile implants. This site has tons of great postings,and lots of very knowledgeable folks. Keep up the good work. Wish Ihad known of this 2 years ago, although I did my research other ways,and feel like I knew all I needed to in order to deal with my PCa in away that was best suited to me. Only disappointment is falling outsidethe 87% who have intercourse at 6mos. Oh well, my decision forDaVinci was in part based on knowledge that the implant offered a goodsolution should impotence be ongoing. Thanks again for all the hard work and info here. I enjoy reading.

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