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Learn about Dr. Fagin and daVinci Robot surgery
 
What is it?
Why daVinci Robotic Surgery?
Watch Video Demonstration
900 Reasons to Choose Us
Download full Davinic Packet
 
 
 
Table of Contents
Section I: Dr. Randy Fagin
Why Choose Dr. Fagin for Your daVinci Surgery
Dr. Fagin’s International Recognition
Your daVinci Team
Intuitive Surgical Letter
Dr. Fagin’s Resume
Section II: Davinci Robotic Surgery
Overview of daVinci Robotic Prostate Surgery
The A.R.T. of Prostate Cancer Surgery
Frequently Asked Questions
Information for Making your Decision
Section III: Before and After Surgery
Pre-Operative Instructions
Post-Operative Instructions
Caring for your Foley catheter
Urinary Control Rehab Program
Sexual Function after daVinci Surgery
Erectile Rehabilitation Program
Section IV: Accommodations
Out-of-Town Guests
Concierge daVinci Experience
Section V: Misc.
Prescriptions
   
 
Your Erection Rehabilitation Program
 
 
Congratulations!
You have been enrolled in Dr. Fagin’s erectile rehabilitation program. Dr. Fagin designed this program to bring you not only the best chance of regaining erectile function, but also to bring you the highest quality patient care available.
General
It is important to remember that regaining erectile function takes time after prostate surgery. Nerve tissue, even when spared by Dr. Fagin, takes time to recover from the inflammation and scarring that can occur after surgery. In order to improve your chances of reaching your desired outcome Dr. Fagin has created his erectile rehabilitation program. This program has been customized to help you get on the road to recovery of your erections and maximize your chances of a healthy sex life after prostate cancer surgery.Think of your erections as a well conditioned athlete, who has been injured. This injury is going to take time to heal. You should try to remain patient, and remember that this will be an ongoing rehabilitation program that will last for 6-12 months. Rehabilitation of potency is much like a sports injury. Proper conditioning and medical treatment may potentially speed up recovery, but it is not guaranteed.
 
Your Two Part Customized Program

Dr. Fagin’s erection rehabilitation program is made up of two components; (1) the use of Viagra (or another similar medication) and (2) the use of the Erecaid vacuum device. This combined therapy has been specifically designed to take advantage of both active and passive rejuvenation of your erectile tissue.

Part (1) Viagra 100mg will be prescribed and should be taken every other evening on an empty stomach just before bedtime. The reason for this is that during your sleep cycle your brain stimulates nighttime erections. Immediately after surgery it is unlikely that you will have rigid nighttime erections, however, taking Viagra at night on an empty stomach allows for improved blood flow to the penis during these stimulation periods.

This improved blood flow has been shown to have some significant benefits to the recovery of your sexual function. Specifically, following this regimen for 6 months has been proven to reduce scarring in your erectile tissues and retain the smooth muscle necessary for erections to occur. Four weeks after surgery you will have healed up enough to attempt sexual stimulation. Although many patients are able to achieve erections satisfactory for sexual activity and climax this early after surgery, seeing “some action” at this point is your goal and is expected to improve over the next 6-12 months. The use of Viagra is the “active” part of your rehabilitation regimen because it involves your body actively pumping good oxygenated blood to your penis.

Most insurance companies only allow for 8 pills of Viagra a month. However, Dr. Fagin’s regimen requires 15 pills per month. To assist you in making up the difference, Dr. Fagin has supplied you with the additional 7 pills you need per month for the first 3 months of your recovery. This has been provided at no cost to you to and is our way of helping you get on the right path for recovery.

 
  
 
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