Question:
Viagra was developed as a hbp drug, and it ability to encourage
erections was discovered accidently. I assume that it does lower blood
pressure. Does that mean that men with lower blood pressure have a better
chance of regaining erectile function after RP than those with a higher
blood pressure? I had an RP on 5/1/02. One nerve was spared. I slowly
regained erectile function, first with the help of Viagra about 5 months
post and then to some extent without 9 months post. Now Viagra improves
things, but if my libido is strong enough I can do without. Those are
obviously good results, and the reason I mention them is as preliminary to
stating that I have always had low pressure. Is there a relationship? (I
am now 66)
Answer:
My opinion is that libido plays a 75-25 role in success. Evidenced by the
fact that one can do it without meds if inspired, but no amount of drugs
gets it working if you're not interested. I have been off and on BP meds for
years, being borderline high. If I lose a little weight I'm off, gain a few
I'm back on. I haven't seen any difference in performance either way.
I had ED problems going in to the RRP. Last month I was seen by a
urologist that specializes in ED problems, and he told me that the high
blood pressure was probably the cause of my ED. I have a visit this week
with my internist, and he will decide then about putting me on med's for the
hypertension. I have been borderline high for years, but it looks like now
I am over the edge. There is no sign of life down there yet. I just took
Viagra 100 mg. again today, and nothing. Same with Cialis.
By the way, when I was diagnosed with PCa, and started researching the
disease, I know that I read that prostate problems can cause impotence. I
have always wondered why, if the prostatitis or BPH caused impotence, why
removal of the prostate in prostatectomy would not make things better?
Guess the nerves have the most to do with this.
