Good luck with the insurance company. I tried and appealed (and lost the appeal) when my uro prescribed the Viagra and the pump. I just got a headache from the Viagra and nothing else. The pump was just kind of a pain to mess with every day so I gave up on that as well.
Now, I have different insurance (used to be Humana but now Blue Cross Blue Shield) so I'm going to try again as I was just prescribed the daily dose of Cialis. It doesn't cause a headache and does seem to improve blood flow. Only been on it a few days so far so I don't know if it helps otherwise. With the Cialis, I seem to have returned to normal size when flacid. My concern was the ever disappearing act and significant shrinkage. Started thinking it was going to go away completely so I'm glad the Cialis seems to have resolved that issue.
My first appointment for "the shot" is coming up in a couple of weeks but I've heard good things from others on the site about it.
I also had nerve sparing but my uro said it can take from six months to three years for normal function to return and that something should be done (the pump, or the pills) for basic maintenance therapy to avoid problems with the basic musculature in the meantime. Apparently, if one is not having regular erections it can cause deteriorization over time. Under normal circumstances there are three or four erections a night while sleeping.
Losing the prostate does not dimish desire. The knowledge that it won't work if you wanted it do does dimish desire however. At least for me, it has kind of been, "What's the point of even thinking about it if I know I can't do anything about it."
It has been eight months so I am looking forward to the shot. Amazing how time can change your opinion about giving yourself a shot in the penis!
Regarding urine coming out, my plan is to spend the time a bit before initiating anything to really drain the neobladder very well in order to avoid that problem.
Mike
Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...