Erections after prostatectomy surgery: does Viagra still work?

The holidays are upon us. After you jump into bed? Feel free to post any thoughts in the comments section or send me an email through the Contact Me page! I guess perhaps the best thing to do is just throw myself into the pool and see what happens. I may not need to say anything until I see that things are moving in the right direction but before they get too serious. That was a bit disconcerting, but I really think my body was just telling me I needed some more rest.

The psychosocial aspects of sexual recovery after prostate cancer treatment

Radical prostatectomy prostate removal is surgery to remove all of the prostate gland and some of the tissue around it. It is done to treat prostate cancer. There are 4 main types or techniques of radical prostatectomy surgery. These procedures take about 2 to 4 hours:. For these procedures, you may have general anesthesia so that you are asleep and pain free.

used in the nerve grafting procedure during radical prostatectomy (RP). surgery and penile prostheses represent the only methods to date.

The purpose of this study was to examine how men without partners make decisions about prostate cancer treatment, manage treatment side effects, and obtain information and support. In , it was projected that over , men were diagnosed with prostate cancer. While treatment options vary, these options result in changes within the man that can affect his quality of life. In addition, spouses are the major providers of emotional support and physical care.

However, little is known about how men without partners cope with prostate cancer. Prior research seldom addresses how diagnosis and treatment for prostate cancer affects the quality of life of men without partners. Because very little is known about the needs of men without partners managing prostate cancer, qualitative analysis of data obtained during semi-structure interviews provided respondents with an opportunity to share the lived experience of prostate cancer.

A semi-structured interview was conducted with selected, consenting men. The sample for this study included 17 unpartnered prostate cancer survivors. The ages of participants ranged from 47 to 72 with a mean age of

ERECTILE DYSFUNCTION FOLLOWING RADICAL PROSTATECTOMY

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Laparoscopic radical prostatectomy. Sometimes the prostate can be removed via keyhole surgery (also called laparoscopic surgery). Small.

Regaining normal erectile function is rare after the most common prostate operation, radical prostatectomy. This is the main result of a new study which is presented at the European Association of Urology Congress in Madrid. Radical Prostatectomy is the removal of the prostate gland during a prostate cancer operation. This is because the nerves which surround the prostate are often damaged during the operation, and these nerves control the ability to have an erection.

In many cases, this improves with time, but now new research indicates that achieving an erection of the same quality as before the operation is rare, and may have been significantly overestimated by doctors. The standard way of measuring erectile function is via a questionnaire, the International Index of Erectile Function IIEF , but this is not specifically aimed at prostate cancer patients.

Some researchers had felt that the questionnaire did not take account of the special circumstances of a sudden change in erectile function brought on by surgery, or allow comparison with sexual activity prior to the operation the IIEF questions only deal with sexual activity within the previous four weeks. This compared with 49 patients As Mikkel Fode said: “The occurrence of sexual dysfunction after prostate cancer surgery is well known but our method of evaluating it is new.

Fundamentally, we may have been asking patients the wrong question, but of course we really need bigger trials to confirm this. We think that this work gives a more realistic, idea of the real problems which most men have after prostate surgery. This is important to know before deciding on undergoing the treatment as your choice might be affected. For men who have already undergone surgery it is important to know that they are not alone in the situation and that their physician will likely be able to help if they discuss the problem.

Commenting, Professor Francesco Montorsi, Chair Department of Urology, Vita Salute San Raffaele University, Milan, Italy and Editor Emeritus European Urology said: “As the average age of patients undergoing radical prostatectomy is decreasing, maintaining the ability to have an erection after an operation is increasingly important to men facing surgery.

You Can Have Sex After Prostate Cancer

Learn about our expanded patient care options for your health care needs. During your preoperative consultation, your surgeon will review your history, medical records, PSA values and any available radiology films or reports. You will then undergo a full physical examination, followed by a discussion of treatment options for your stage of prostate cancer. Your glass pathology slides will be submitted for review by the Johns Hopkins Pathology Department. Results of this review require one to two weeks, after which the slides will automatically be sent back to the original facility from which they came.

If your surgeon decides that you are a candidate for robotic-assisted radical prostatectomy, you will then meet with a patient service surgery coordinator to schedule a date for your operation.

Official Title: Salvage Radiation Therapy and Docetaxel (Taxotere) for Biochemical Failure After Radical Prostatectomy. Study Start Date: March

ZERO is a free, comprehensive patient support service to help patients and their families navigate insurance and financial obstacles to cover treatment and other critical needs associated with cancer. June of , my year marriage ended in divorce. What seemed to be a well-charted future started to unravel, and I was forced to rebuild my life as an almost year old single man.

With the start of a new job, I also moved into a beautifully renovated mill building populated with a nice mix of empty nesters, young professionals and the recently divorced. Less than six months after my divorce, and just as I was gaining the confidence and the comfort level to jumpstart a social life, I had my annual physical. I had no complaints. My health was fine and I was more active than ever—hiking and running the occasional 5K.

My pre-physical blood work looked fine and my PSA, something I rarely paid attention to, was normal. My doctor felt something abnormal during the DRE. He did not like what he felt. He shared that the normal protocol would be to wait one year and see if there are changes both physically and with my PSA. He strongly suggested we put normal protocols aside and see a urologist quickly. I agreed and in a matter of weeks I was faced with an aggressive prostate cancer diagnosis and a recommendation to act quickly.

Dating after Prostatectomy: One Man’s Guide

But with prostate cancer , the potential side effects can be particularly concerning to men who are trying to decide which approach is right for them. Despite the angst these issues may cause, experts say most of these side effects can be managed and many men have a good chance of returning to a full sex life after prostate cancer treatment. Following surgery, many men experience erectile dysfunction ED , but for many, the disruption is temporary.

They analyzed radical prostatectomy conducted before 4 and 6 weeks after a The biopsy date was unavailable for a significant number of patients and hence.

AARP Rewards is here to make your next steps easy, rewarding and fun! Learn more. Best chance of preserving sexual function: opt for nerve-sparing surgery, then use erection medication. The truth is more complicated: A man facing treatment should prepare himself for the probability of ED. But while typical, ED is not inevitable. And any man who develops it can still enjoy great sex — including deeply satisfying orgasms — as long as he is willing to stop viewing an erection as a prerequisite.

Assuming annual checkups, prostate cancer is likely to be diagnosed early, before it has spread outside the gland. Early detection means a good prognosis: The American Cancer Society estimates there were , new diagnoses of prostate cancer in , but only 30, deaths — a death rate of 13 percent. By comparison, there were , new diagnoses of breast cancer the same year, with 40, deaths — 17 percent.

Doctors treat most early prostate cancers in one of three ways: surgical removal of the gland radical prostatectomy , radiation from an external source external beam or insertion of a radioactive pellet seed implantation.

Sex and relationships

It represents a very important contribution to the literature and should be required reading for anyone taking care of prostate cancer patients. A brief interpretation of this study, in the context of RTOG , is as follows:. Six months of an LHRH agonist with salvage radiation probably improves cancer control in men with a PSA recurrence after prostatectomy.

series to date of men with climacturia after radical prostatectomy who were treated with a transobturator male sling. Materials and Methods: Review of registry.

When Chris Pearce was diagnosed with prostate cancer about eight years ago, memories of his father, who had died from complications of the disease, flashed through his head. Pearce initially chose a nerve-sparing robotic prostatectomy to help preserve sexual function. I took Viagra and things like that, but it didn’t help,” said Pearce, a year-old engineer.

At the time he was in a marriage that was winding down, and the sexual side effects from treatment added pressure. A recent study, led by Dr. For the study, researchers followed 88 prostate cancer patients and their female partners for up to a year following treatment. A smaller number — 12 percent — reported that it had a “very negative” effect.

And when that didn’t happen, then there was more disappointment, in that their partners did not regain function.

Risk of Dying of Prostate Cancer in Men With a Rising PSA After Radical Prostatectomy

Study record managers: refer to the Data Element Definitions if submitting registration or results information. Questions are scored 0 no sexual activity for Question 1, no sexual stimulation for Question 2 and did not attempt intercourse for Questions to 5 high erectile function and Question 15 is scored 1 very low confidence to 5 very high confidence , for a total score ranging from 1 to Higher scores represent better erectile function.

Scores range from 0 no sexual stimulation or intercourse to 5 high orgasm for each Q, total 0 to

Date: March 21, ; Source: European Association of Urology Radical Prostatectomy is the removal of the prostate gland during a prostate cancer operation.

Erectile dysfunction following radical prostatectomy for clinically localized prostate cancer is a known potential complication of the surgery. With the advent of the nerve-sparing radical prostatectomy technique, many men can expect to recover erectile function in the current era. However, despite expert application of the nerve-sparing prostatectomy technique, early recovery of natural erectile function is not common.

Increasing attention has been given to this problem in recent years with the advancement of possible new therapeutic options to enhance erection function recovery following this surgery. Visit Dr. Burnett’s Neuro-Urology Laboratory. This topic area was handled thoroughly in an article written by Dr.

Dr. David Samadi – Sex after Prostate Cancer : A Candid Look