Erectile dysfunction treatment after prostatectomy
Common Questions and Answers about Erectile dysfunction treatment after prostatectomy
erectile-dysfunction
Impotence or erectile dysfunction is common side effect after radical prostatectomy. The nerve sparing technique restores potency in men when tumor is localized. Of the two surgical techniques, these are nerve-sparing ones, unilateral prostatectomy can save the neurovascular nerve bundle and bilateral spares both. The erectile function returns in more than half who undergo the bilateral technique and about half for unilateral technique.
If you are taking any medications for erectile dysfunction, then this may have some effect on blood pressure, but it lowers not increases.
There is increasing amount of support for the use of erectile medications after radical prostatectomy which may be beneficial in improving the time to erectile function. These “penile rehabilitation” protocols are not standardized among institutions as there is no proven best regiment. These medications can help stimulate the penis and are believed to hasten the recovery of erections.
While you may be a candidate for the drugs as they do help in the recovery (especially if you never had any erectile dysfunction before the surgery), these drugs would also have side effects and may be contraindicated in the presence of other conditions like heart disease and run contrary to other medications. The nature of the surgery is also important, as the proof of treatment effect was conducted for men who had nerve sparing surgery.
Erectile dysfunction and urinary leakage are important sources of decreased well-being after radical prostatectomy, whereas obstructed voiding is an important source after watchful waiting. The distress induced by a specific symptom varies considerably among patients. Moreover, some men give full priority to survival — even when the gain is small — whereas others want to avoid therapy-induced distressful symptoms, even when faced with certain decreased prospects of survival.
In choosing between alternatives 1 and 2a, my concerns are firstly what is the difference in impotence, including erectile dysfunction and secondly, incontinence. I understand both treatment alternatives will result in impotence and incontinence, so I am just trying to get information on the resulting differences, if any, between the 2 treatments. Are there any other factors I should consider in choosing between these 2 alternatives ?
Erectile dysfunction following radical prostatectomy is not uncommon. Even men who undergo nerve sparing may not recover their erectile function for up to two years and may require the use of erectile aids such as PDE-5 inhibitors (Viagra, Calais etc.) or PGE-1 (alprostadil (MUSE or Caverject)). Predicting who will recover erectile function is by no means an exact science, it depends on preoperative factors, intraoperative factors and post operative factors.
It does cause erectile dysfunction though. There is testimonials everywhere on the net about it. It blocks the conversion of dht and can inturn lower testosterone levels. if u read up on propecia, the hair loss treatment.
Issues I have in recent years is significant and worsening swelling of ankles and legs , as well as Erectile dysfunction . Is there any better drugs or treatment?
Hormonal Therapy
Lower concentration of the testosterone is found in majority of men suffering from the erectile dysfunction. But erectile dysfunction can not be treated by increasing the level of testosterone. So, levels of testosterone are increased in combination with some other treatment of erectile dysfunction to show the good results.
I'm suffering from erectile dysfunction I had treatment by chiropractor 1.5 years ago after that I'm suffering from ed for last 1.5 year.
There are many causes for erectile dysfunction and also various treatment options depending on the age and cause of erectile dysfunction. Some of the causes are " Damage to nerves, arteries, smooth muscles, and fibrous tissues, often as a result of disease, is the most common causes. Diseases such as diabetes, kidney disease, chronic alcoholism, multiple sclerosis, atherosclerosis, vascular disease, and neurologic disease also cause erectile dysfunction.
On a related subject, men with cirrhosis commonly have both lack of libido and erectile dysfunction (ED) because the liver is part of the system for processing both male and female hormones. Men and women have a balance of male and female hormones. With advanced liver disease the balance of hormones changes thus producing characteristics of the opposite sex. As the liver fails the processing of hormones also fails. In fact men with cirrhosis have higher amounts of female hormones.
Is this the cause for anxiety or sleeplessness or erectile dysfunction? Whom should I consult; treatment and what are the treatment duration for this? If so, then I have to search an eminent psychologist. If I get good sleep, then erectile dysfunction is okay?
Sorry to hear that you have the problem of erectile dysfunction and especially after being treated for the priapism. That must have been very painful for you.
I am not a doctor, but I would suggest you make an appointment to see your doctor or a different one or even consider referral to a urologist if your doctor feels this may be helpful.
The injection that you were given (papaverine) is used to relax and open the blood vessels.
I went back to the Doctor and he prescribe me Levitra for erectile dysfunction and told me that other patients have secondary effects after taking Levaquin. So, I took the Levitra and I started gettin my erections back and ejaculated without pain. After a month he switch me to Cialis, then after month of taking cialis I decided to stop taking cialis because I was able to get erections on my own, but a few days ago I started having painful ejaculations.
From what you have said it's probably just nervousness.
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