Best Ed Drug After Prostate Surgery

Can Anything Be Done For Erectile Dysfunction Caused By Prostate Cancer Treatment

Yes, there are things you can try if you have erectile dysfunction after your prostate cancer treatment. You should keep in mind that the following things will affect your ability to have an erection after your prostate cancer treatment:

• How good your erections were before your treatment
• Other medical conditions you have like high blood pressure or diabetes
• Some types of medicines you may take such as medicines for high blood pressure or antidepressants
• Things you do in your life such as drinking or smoking
• The type of prostate cancer treatment you had

It is important that you and your partner speak with your doctor or healthcare team about what you can do. Your doctor or healthcare team will speak with you about what might work best for you if you have erectile dysfunction. It is important that you speak with them since some treatments for erectile dysfunction can affect other medical problems you may have.

Types of treatment for erectile dysfunction include:

How May Erectile Dysfunction Affect My Sexual Relationships

Prostate cancer and its treatment can affect your desire for sex. Every man is different but the feelings caused by having cancer and the physical stress of treatment can affect the way you feel about your body and your relationships. Some men talk about feelings of a loss of their role within the partnership or family. This can sometimes affect a mans self esteem and confidence. For others, the physical effects of treatment may lead to tiredness and a lack of energy. Physical changes after some treatments can also affect the way you feel about your body and appearance . All of these things may result in a lack of interest in sex.

If you are feeling tired or under stress, tell your partner how your feel. Loss of interest in sex does not mean you lose interest in a loving and supportive relationship. There are ways to remain physically intimate without having sex. If you are used to a close physical relationship, it is important to remember that hugs, cuddles and kisses maintain intimacy, provide support, and do not have to lead to sex.

Is Another Treatment Option Better For Preservation Of Erectile Function

The growing interest in pelvic radiation, including brachytherapy, as an alternative to surgery can be attributed in part to the supposition that surgery carries a higher risk of erectile dysfunction. Clearly, surgery is associated with an immediate, precipitous loss of erectile function that does not occur when radiation therapy is performed, although with surgery recovery is possible in many with appropriately extended follow-up. Radiation therapy, by contrast, often results in a steady decline in erectile function to a hardly trivial degree over time.

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Theme : Treatment/provider Satisfaction/dissatisfaction

Some men reported dissatisfaction with the treatment they received, while others were happy with the treatment and the care they received around the treatment. The majority of men talked about being happy they were cancer free. Several men talked about their frustration with their providers sole focus on the surgery and the lack of resources or help with side effects from treatment. Men who were dissatisfied talked about the lack of support and help from their providers while men who were satisfied with their care commented on the support and help they got from the provider throughout treatment. Some men felt the provider did not really understand them in terms of their priorities and their feelings about sexual function. Some patients regretted the particular treatment they received or that they received treatment at all. The participants said the following:

Man 17: Uh, were alive, ok? I was Gleason 7. My statistical life expectancy would be about 12 years, you know, thats average. Could be less, could be more. If I did not get treatment. And, uh, my mentality and still isI got it out, out of my body.

Man 1: I think back. Maybe I shouldnt have done it . And go with the shorter quality of life rather than a long life a longer life with the situation.

A Comparison Of Medications For Inducing Erections After Prostate Surgery

HomeNews & MediaNewsA comparison of medications for inducing erections after prostate surgery

04 February 2020

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Surgery for prostate cancer reduces erections

Treatment for localised prostate cancer can have terrible consequences for a mans sex life. Soon after surgery, most men find that achieving and maintaining an erection is difficult. For some men, this gradually improves over 12 months or more. Unfortunately, many have long term problems having sex. Radiotherapy for prostate cancer can also affect a mans sex life, but these effects are usually delayed.

Improving erections

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Erectile Dysfunction Therapy After Prostate Cancer Treatment

Victoria Stainer

Victoria Stainer is a Speciality Trainee in Urology, Rachel Skews is a Urology Nurse Specialist and Jonathan J Aning is a Consultant Urological Surgeon at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Rachel Skews

Victoria Stainer is a Speciality Trainee in Urology, Rachel Skews is a Urology Nurse Specialist and Jonathan J Aning is a Consultant Urological Surgeon at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Jonathan J Aning

Victoria Stainer is a Speciality Trainee in Urology, Rachel Skews is a Urology Nurse Specialist and Jonathan J Aning is a Consultant Urological Surgeon at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Victoria Stainer

Victoria Stainer is a Speciality Trainee in Urology, Rachel Skews is a Urology Nurse Specialist and Jonathan J Aning is a Consultant Urological Surgeon at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Rachel Skews

Victoria Stainer is a Speciality Trainee in Urology, Rachel Skews is a Urology Nurse Specialist and Jonathan J Aning is a Consultant Urological Surgeon at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Jonathan J Aning

Erectile Dysfunction After Prostate Surgery

For the study, Schiff and colleagues examined the medical records of 138 men who underwent radical prostatectomy and were evaluated for erectile function at follow-up visits to the doctor.

At each visit, the men were asked to rate their level of erectile function on a 5-level scale, where 1 corresponded to normal functioning and 5 to no erections.

Prior to surgery, two-thirds of the men said they had normal erectile functioning . The others put themselves at level 2, meaning “diminished erections, routinely sufficient for intercourse.”

At subsequent follow-up visits, five of these men had normal functioning and 11 recovered enough to have intercourse, although they had diminished erections.

And 87 men said they had level 4 or level 5 erections, corresponding to partial erections not sufficient for intercourse or no erections, respectively, two years after surgery.

Of these men, one recovered normal erections and nine recovered diminished erections, routinely sufficient for intercourse. Eleven recovered partial erections occasionally satisfactory for intercourse.

After about three years, though, men with the most severe erectile dysfunction showed almost no improvement, Schiff says. But men who had partial erections that were occasionally sufficient for intercourse continued to make progress for up to four years after surgery.

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Side Effects From Hormone Therapy

Hormone therapy for prostate cancer, known as androgen deprivation therapy , suppresses production of testosterone. ADT can cause several side effects. These include fatigue, hot flashes, decreased bone density, ED, depressed mood, decreased sex drive, weight gain, heart risks, breast growth and cognitive decline.

The severity and length of side effects depend on how long treatment lasts. “If a man has only six months of treatment, their level of testosterone rises again, and they’ll go back to feeling like themselves,” Calvaresi said.

Often, mood changes in men on ADT are caused by other side effects such as weight gain and hot flashes. “If we can manage those other side effects, then often that improves mood,” she said. Following a healthy diet and exercising regularly often helps to decrease fatigue, prevent weight gain and improve overall mood. Before beginning hormone therapy, you should discuss the effects of ADT with your doctor, and talk about how you can change your exercise and eating habits to help head off side effects before they occur.

Ed Therapy May Preserve Function Penile Length After Prostatectomy

Daily treatment with the PDE-5 inhibitor tadalafil led to a significant decrease in loss of penile length among men who had undergone bilateral nerve-sparing radical prostatectomy.

Gerald Brock, MD

Daily treatment with the PDE-5 inhibitor tadalafil led to a significant decrease in loss of penile length among men who had undergone bilateral nerve-sparing radical prostatectomy, a randomized trial showed.

Patients treated daily with tadalafil had 4.1 mm less reduction in stretched penile length at the end of 9 months, as compared with placebo-treated men. However, use of a higher dose of the drug on an as-needed basis did not improve penile length compared with placebo. Additionally, morning penile tumescence and ability to achieve erections suitable for intercourse also improved significantly with daily tadalafil versus placebo, according to a presentation at the American Urological Association meeting in Orlando.

These data suggest that tadalafil at a dose of 5 mg daily, if started early after surgery, protects against penile length loss and may help prevent structural cavernosa changes after nerve-sparing radical prostatectomy, said Gerald Brock, MD, professor of urologic surgery at the University of Western Ontario in London.

Sexual dysfunction occurs frequently after nerve sparing radical prostatectomy. In general, a majority of men who had normal erectile function before surgery recover function over the span of several years, said Brock.

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How To Treat Erectile Dysfunction After Prostate Surgery

Prostate surgery is challenging enough. But to make matters worse, such an operation may impact ones sex life. The prostate is a vital part of the reproductive system. Its responsible for producing fluids that carry sperm.

So when the prostate is affected, this can lead to conditions like erectile dysfunction.

How Common Is Erectile Dysfunction After Prostate Surgery

Its both extremely common and completely normal to experience difficulties getting an erection after prostate surgery. According to John Hopkins Medicine article linked above, nearly all men will experience some erectile dysfunction in the first few months after prostate cancer treatment.

Most of the time, this is temporary. Within one year, almost all men with intact nerves following the surgery will experience a significant improvement in sexual performance. In short, if youre finding it difficult to get an erection after surgery, it may only be a temporary issue.

Within one year, between 40 and 50 percent of men whove had a nerve-sparing prostatectomy will return to their normal, pre-treatment sexual function. Within two years, about 60 percent will return to their pre-treatment function.

Like with all surgical procedures, the speed and rate of recovery can vary between patients and surgeons. The more nerves your surgeon is able to spare during the procedure, the more likely you are to successfully maintain sexual function.

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Getting Erections: 12 Months After Prostate Cancer Surgery

If you are using MUSE without satisfactory erection response, consider talking to your doctor about the possibility of combination therapy, such as combining MUSE with an erection pill. If you are using MUSE without satisfactory erection response, consider talking to your doctor about the possibility of trying injections or the vacuum pump.

If you have decided to stop using erection medications or devices, most couples have found that it is important to their relationship to continue with some form of sexual activity. Non-penetrative based sexual activity can be very satisfying but it can take some effort and open communication to adjust. The key to success is to work with each other to find new ways of achieving pleasure.

Talking Counselling And Sex Therapy

Talking to your partner about your erection difficulties can help. Or it may help to talk to a close friend if you are not in a relationship.

Not talking to those close to you could be one of the main barriers to coping with this side effect. You might then find it easier to consider ways that could help.

Counsellors or therapists can help if youre worrying about anything to do with your sex life and sexuality. You can be referred by your GP to a counsellor or therapist within the NHS. You might need to go on a waiting list to see them.

Talk to your GP to find out what is available in your area. Your local hospital or your local Erectile Dysfunction Clinic might have this service.

The drugs used to treat erection problems include:

As drugs work best in men who have sexual desire, they might not help some men who are having hormone therapy. There is limited evidence to say these drugs work when having hormone therapy. But some specialists believe that they are still worth a try if you would like to give them a go.

Talk to your doctor about the best PDE 5 drug for you and the best way to take it. Tadalafil works for 24 to 36 hours, whereas the other drugs work for up to 4 to 6 hours. Its worth knowing that some men need to take 5 to 6 doses before they start to have an effect. You take a daily dose, or when you need them.

Possible side effects of PDE 5 inhibitors include:

• temporary problems with vision

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The Regeneration Rate Of The Genital Tissues Depends On The Following Significant Factors:

• age and health status of men
• orrectness of surgical intervention
• level of erectile ability before surgical treatment.

The most effective way to treat erectile dysfunction after removal of the prostate gland is physiotherapy and the use of tonic medications based on Sildenafil, Tadacip or Vardenafil.

Men who survived a surgical intervention need to overcome the mental stumbling block. The patient for the adjustment of sexual life must feel confident in his abilities. To get rid of fear of failure and the syndrome of obsessive waiting will help support from the sexual partner and regular sexual activity.

Set of physical exercises will help to improve the power of sexual potency within the first year after the operation. This set designed to strengthen the muscles of the perineum and restore control over urination.

Doctors recommend to insert special candles into the urethra for additional relaxation of the muscles and optimal blood filling of the genital organs. In some cases, doctors recommend to undergo surgical treatment for impotence which has occurred after prostatectomy.

The doctor should explain to the patient and his partner all nuances concerning the loss of erection after prostatectomy and the importance of rehabilitation.

Recovery Of Erectile Function After Surgery

Upon removing the catheter after surgery, many of you are probably hopeful that things return to normal again but this is often far from the case. As expected, the timeline of recovery varies from man to man, although erectile function can usually be the final hurdle to overcome. This is regularly the symptom holding you back from moving on with your life.

Overcoming erectile dysfunction after prostate surgery is a long and enduring path for all men. Ensuring that youre covering all bases early and consistently within your recovery and not having too high of expectations are important elements to successfully manage. Visit us at www.onlineprostate.physio and let us help you get started!

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Management Of Erectile Dysfunction

About 75% of men who undergo nerve-sparing prostatectomy or more precise forms of radiation therapy have reported successfully achieving erections after using these drugs. However, they are not for everyone, including men who take medications for angina or other heart problems and men who take alpha-blockers.

Erectile Dysfunction After Radical Prostatectomy

The prostate is a pingpong ball-sized gland inside your groin between the base of your and rectum. It delivers part of the , which helps sperm migrate and survive. On each side of the prostate, thereâs a grouping of nerves and blood vessels that manage your erections.

If youâve had a radical prostatectomy, you may have trouble getting or keeping an erection firm enough for sex . This is due to injury to the nerves that send electrical signals from your brain and spinal cord throughout your body, a condition called neuropraxia.

Neuropraxia happens after direct damage to the nerves, swelling, or a lack of blood flow to the groin area. It can lead to the growth of scar tissue and the death of nerve cells, which can also cause shortening of the .

Researchers report that 30%-80% of men have ED after prostate cancer surgery. Without treatment, it can last for up to 2 years after surgery. But there are steps you can take to help regain your sexual health.

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Restoring Sexual Function After Prostate Surgery

Prostate cancer affects nearly 1 in 7 men. Fortunately, its a very treatable condition, especially when its caught early. One of the most common treatments for prostate cancer or having an enlarged prostate is to undergo prostate surgery, also known as a prostatectomy. This surgery comes with a very high success rate, boasting a 10 year survival of nearly 90%, but just like any other surgery it will come with potential risks and side effects.

According to the Prostate Cancer Foundation, one of the most common side effects of a prostatectomy is erectile dysfunction. Luckily, there are plenty of ways to fight back against erectile dysfunction and restore sexual function while recovering from prostate surgery.

Getting Erections: 4 Months After Prostate Cancer Surgery

In the early period after surgery, and usually within the first year, using the vacuum erection device and penile injectionsâmore invasive approachesâare the most effective in achieving firm erections for penetration. While erection pills, can help maintain penile health, they are unlikely to give you firm erections at this early stage. Both approaches are availableâitâs up to you which you choose.

Couples who want to engage earlier in penetrative sex try upfront use of vacuum pumps and injections, while those who are not in as much of a rush or uncomfortable with idea of using injections or devices prefer to start with erection pills.

Remember:

• Nerve bundles that are damaged during surgery can take up to 24 months to recover, and sometimes recovery can continue for 3 to 4 years after surgery.

• Erection pills are dependent on having some nerve bundle function.

• Erection pills can work better for some people and not others.

If youâre not happy with the erection pills and youâre keen to get to penetrative sex, ask your doctor about using the vacuum device or penile injections.

If youâre using suppositories, vacuum pump or injections without much success, speak to your doctor about swapping between them or combining them with erection pills.

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