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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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what can i do for my radical penaneal op which leaves me totaly

Customer Question

what can i do for my radical penaneal op which leaves me totaly without an erection
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Basu replied 3 years ago.

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,

I am Mysticdoc, experienced Internal Medicine Specialist.

I am here to help you with your concerns.

Mysticdoc :

This is very unfortunate.

Mysticdoc :

Radical prostatectomy can cause problem with the erection due to the nerve injury.

Mysticdoc :

PDE5 inhibitors like Viagra, Cialis or levitra should be tried which have some success rate in restoring erection.

Mysticdoc :

The next option is to consider prostaglandin analog injection like alprostadil.

Mysticdoc :

Alprostadil is also available in pellet froms to be inserted in the urethra.

Mysticdoc :

Another local injection called Trimix is also available ( amixture of 3 different medications phentolamine, papaverine, alprostadil).

Mysticdoc :

Another option is to use penile vacuum pump.

Mysticdoc :

This is an inexpensive device to manually produce erection by vacuum pump action.

Mysticdoc :

Lastly, penile implants will be the only realistic option if none of the above works.

Mysticdoc :

Nowadys, penile technology has improved greatly and self inflatable flexible implant device can be used if you do not like semirigid implant.

Mysticdoc :

These options should be discussed with your urologist.

JACUSTOMER-kp35od85- :

i have been using a vaccum pump but now i have a rupture in the right hand side where the restricter bands go

Mysticdoc :

ok

Mysticdoc :

u mean the rupture of the vacum pump band?

Mysticdoc :

In that case the vaccum pump should be replaced.

Mysticdoc :

Other options, like pral medication (viagra, cialise, levitra), penile injections or the penile implant can be considered.

JACUSTOMER-kp35od85- :

it is in the wall of the penis . It balloons out at the side

Mysticdoc :

Ok

Mysticdoc :

in that case, you must have ruptured the penile muscle.

Mysticdoc :

You should not use penile pump now.

Mysticdoc :

And please see your doctor or a urologist for clinical evaluation soon.

Mysticdoc :

Best wishes,

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