Peter Attia· MD
a 65-year-old guy who doesn't even require Calis before surgery yeah I would tell them it's a 65 to 75% chance they recover erection sufficient for intercourse with Calis on board within how long 24 months
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a 65-year-old guy who doesn't even require Calis before surgery yeah I would tell them it's a 65 to 75% chance they recover erection sufficient for intercourse with Calis on board within how long 24 months
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same guy but he's a glein 4 plus4 it depends on where the tumor is okay so the nerve bundles are in the kind of posterior lateral portions of the prostate let's let's think about like 5 and 7:00 mhm the bulk of them so if you have an anterior tumor at 1:00 we can do full nurse bearing so this is the kind of nuance that again comes into the the diagnosis prehend yeah so the prostaglandins have also been a GameChanger here because it sort of lessens the the the the the need for perfect uh recovery of erectile function postoperative well we use prostaglandins and injectable medication in that kind of one to two or you know twoyear period of time where the nerve function is recovering because and this is an injection at the of the penis right at the vascular bundle at the base of the penis into the cavernosal body the cavos okay and that will trigger uh uh an erection uh which is what prevents that patient from getting priapism the dosage of the medication so you start out low and you titrate High got it so that you know reates the penis helps maintain penal length um if you're attempting intercourse uh it would prevent any kind of potential microact like you had talked about with Moira with with um you know with potential scarring and and plaque formation so I I mean I I strongly advocate for it um for all the patients it helps with their recovery and helps them with their sexual you know function sexual activity in the meantime