Erectile dysfunction treatment radical prostatectomy
Common Questions and Answers about Erectile dysfunction treatment radical prostatectomy
erectile-dysfunction
Urinary incontinence and sexual dysfunction are the two most bothersome effects following successful treatment of cancer following radical prostatectomy. Some patients do not recover full urinary continence for upwards of a year to a year and a half depending on numerous factors. I would encourage you to discuss this issue with your doctor where you can discuss things like pelvic floor exercises and medications that can improve certain aspects that may contribute to his leakage.
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.
The bottom line is choosing the course of treatment or not. The option offered to me was radical prostatectomy (RP) with follow up radiation and continued follow up tests. I said I would make a decision within 2 weeks. When I left his office my leaning was to go ahead. Since then I continued my lengthly research on the subject and have come to the conclusion that (RP) has a lot of drawbacks with respect to quality of life. It was that approach I focused my research.
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 ?
If you are taking any medications for erectile dysfunction, then this may have some effect on blood pressure, but it lowers not increases.
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.
I am five years post radical prostatectomy. What would cause a burning sensation during and just after an orgasm, most times?
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.
The operation can be used in men with prostate cancer who cannot undergo radical prostatectomy before another treatment begins. In the era of early detection, this is often not the case and primary treatment involves radical prostatectomy, robotic or otherwise.
Ash Tewari, MD
http://www.cornellroboticprostate.org
This forum is for information only.
I am in my final decision-making process about pc treatment, either CyberKnife or robotic radical prostatectomy. I need the most current advice about the efficacy of CyberKnife vs robotic surgery. I am 67, my father had pc, my PSA is 5.48, my biopsy was 3 Gleason 6's and 1 Gleason 7 (3+4), my bone scan and CT scan were both clear, my MRI shows four "suspected tumors" ranging from .4 cm to 1.3 cm, two of which have broad capsular contact but there is no bulging of the capsule.
Hi... i am interested to know your story. When were you diagnosed and when did you have a prostatectomy? Did you know, right after your surgery, after biopsy, that cancer penetrated capsule? what were your recurring PSA's? I'm curious because my husband had a radical prostatectomy in January 2010. He has an elevating PSA and we are told that he will now need radiation or chemo/hormone treatments.
re treated. My father was diognised with Prostate cancer and we removed it with radical prostatectomy. I consulted with many doctors on this matter and most of them suggested to go with it because it has less risks than other methods.
I know of one surgeon who performs Laparoscopic Radical Prostatectomy for chronic prostatitis but the cost is not covered by insurance. As part of the surgery the lymph nodes in the prostate are removed as well as the entire prostate. Does anyone know of a male who has had this surgery and it alleviated this neck pain?
Thank you for your question. Chris is right when it comes to advanced prostate cancer. There is no permanent cure but you can beat the odds.
To answer your question, you still have PSA-only recurrence. Such increases are not accompanied by symptoms, signs, or imaging evidence of locally recurrent or metastatic disease.
I am 48 yrs old and had a radical prostatectomy in Jan 2005, lymph nodes were removed but were not infected by the cancer. My gleason score was 7 and PSA level was 4.3 at the time of diagnosis. I have had a good recovery and life is back to normal. I have been seeing my urologist every 6 months since the surgery and having PSA tests. the first 4 tests post surgery have all seen PSA levels of 0.01 or less. Today I had a 6 month follow up visit and my PSA has risen to 0.2.
Hello and welcome to the board. My husband had a radical prostatectomy on December 19th 2007. As of today, 8 months later he has had no erections and no sign of it happening. Our urologist said it can take up to 18months to 2 years, but I'm adjusted to nothing happening in the future. You need to talk to an expert in the field, and also find out if his nerves were damaged during his operation. Good luck.
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?
I had prostate cancer and had a radical prostatectomy Feb 2009. Gleason 3+4, PSA 4.2 preop, 0 of 18 nodes positive, largest tumor 1.5 x 1.1 x 1.0. right margin very close but no residual tumor- Stage T2c No. brother died of prostate cancer Gleason 4 + 4. Psa on April 2009 zero and remained essentially zero at 3 month intervals (except occasional 0.01) until June 2013. Psa Sept 2013= 0.03, psa Jan 2014 0.03, psa May 2014 0.04, and psa August 2014= 0.05.
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.
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