Hello Ulls - the sessions are online (Google Meet) 0ne-to-one - I would talk you through the brain and how our minds work, take you through the Neuroscience, and then we follow that up with 6-8 weeks of 1 hour online sessions. Let me know if you are interested. Not sure how we contact direct from this site
Hello Depression, sorry to hear about your feelings.
In addition to the other excellent comments, two things I would suggest.
Look for a local prostate cancer support group. Check on both Prostate Cancer UK and and Tackle websites (they both list most of them, but a few are on only one or the other) for ones near you. It can help to meet other men who've been treated, and face the same issues as you in some cases.
Ask for a referral to your local ED clinic or Andrology department for ED support. At this point, nerves aren't going to recover, but there are other things to try. First off, you will need a pump to stretch the little fellow back to size if he hasn't had any erections for a long time. Pumps can be used to generate erections for sex too, but the main use at this point would be what's called penile rehabilitation, to get the erectile parts (the two Corpus Cavernosum) stretching again. This will help with the following two options too.
If the use of the pump for penile rehabilitation is successful, then you could try the vasodilator drugs which are administered by injecting them (Caverject, Invicorp, Viridal) or putting them down the end of the urethra/pee pipe (MUSE, Vitaros). These are all based on a drug call Alprostadil, except for Invicorp which uses a pair of different drugs.
It may be that either these vasodilator drugs don't work, or that you don't get on with them. It's possible that after 10 years of no erections, the erectile part of the penis won't recover sufficiently with the pump to have erections again, and so these drugs won't generate a usable erection. In this case, the second option is to have a penile implant, where the erectile parts of the penis are replaced. There are two types of penile implant. The simple one replaces the erectile part with malleable plastic rods, which means you have the erect length all the time, but you can bend it out of the way when not in use. The other type replaces the erectile parts of the penis with a pair of inflatable balloons which pump up to make the penis erect using a small pump inserted into the scrotum, and you let down again afterwards.
I know it's tempting to think "what if" I'd done something different, but it's not helpful. If you'd had radiotherapy, you might be one of the unfortunate people who end up with a stricture or rectal incontinence. None of the treatments are without risk. It does sound like the prostatectomy worked in terms of keeping you cancer-free. I think there are things you can do as suggested above to try and tackle the ED.
