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What Happens When They Remove Your Prostate

Does Viagra And Cialis Work After Prostate Removal

Prostate Surgery: Prostatectomy

During recovery, medications like Viagra and Cialis will help. Viagra can restore impotence and contributes to more pleasurable sex life.

A study published in the Journal of Urology reported that 53% from a total of 80 men who underwent radical prostatectomy had their erection function restored after taking Viagra.

But is Viagra an addictive drug?

Many men experienced a high rate of improvement in their sexual performance due to medications such as Viagra, Cialis, or Levitra. If you have been wondering whether these medications are addictive, you should know that the active ingredient in Viagra, sildenafil, is not an addictive substance.

These medications work by increasing the blood flow to the penis and facilitate the erection process. Addiction is brain-triggered, but Viagra does not target the nervous processes in the brain. That is why it is considered a safe option for those who want to faster recover their sexual potency after prostate cancer treatment.

What Have I Learned By Reading This

You learned about:

  • Why prostate cancer treatment can cause erectile dysfunction
  • What can be done about erectile dysfunction
  • How erectile dysfunction may affect your sex life
  • What your partner can expect

If you have any questions, please talk to your doctor or health care team. It is important that you understand what is going on with your prostate cancer treatment. This knowledge will help you take better care of yourself and feel more in control. It will also help you manage any side effects you may have from your treatment.

Prostate Removal: 8 Things To Know

  • BPH: Surgical Management. Urology Care Foundation.
  • How Cancer Treatment Can Affect Ejaculation. American Cancer Society.
  • Prostate Cancer FAQs. Prostate Cancer Foundation.
  • Prostate Cancer Treatment Option Overview – Surgery. National Cancer Institute.
  • Prostate Enlargement: Benign Prostatic Hyperplasia. National Institute of Diabetes and Digestive and Kidney Diseases.
  • Prostatectomy . Prostate Cancer Foundation.
  • Surgery for Prostate Cancer. American Cancer Society.
  • Transurethral Resection of the Prostate . Johns Hopkins Medicine.
  • What is Radical Prostatectomy for Prostate Cancer? American Urological Association.
  • Recommended Reading: Monoclonal Antibody Therapy For Prostate Cancer

    Surgery For Prostate Cancer

    Surgery is a common choice to try to cure prostate cancer if it is not thought to have spread outside the prostate gland.

    The main type of surgery for prostate cancer is a radical prostatectomy. In this operation, the surgeon removes the entire prostate gland plus some of the tissue around it, including the seminal vesicles.

    Side Effects From Radiation

    Prostatectomy

    Urinary symptoms from radiation treatment for prostate cancer are different from those caused by prostate surgery. “It’s more like a urinary tract infection-increased urgency and frequency, and men may some have bleeding or pain when they urinate,” Calvaresi said. These problems often go away once treatment is complete.

    Radiation also may cause bowel changes, such as constipation, loose stools or both. These can be managed by over-the-counter medication. Men may also see some blood in their stool during treatment-if so, let your health care provider know about this.

    Men undergoing radiation are likely to have ED, but not immediately. “It slowly sets in after radiation treatment,” Calvaresi said. Treatments for radiation-related ED are the same as ED caused by prostate cancer surgery.

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    Going Home With A Catheter

    You will be discharged from the hospital with a catheter in place to drain urine from your bladder into a bag. The doctor will remove this in the office in five to 14 days. Be sure to clean the catheter where it exits your penis twice a day with soap and water and to empty the bag frequently. The bag should always be positioned lower than your bladder.

    On occasion, the catheter may irritate the bladder, causing bladder spasms that can be quite uncomfortable. If these occur, your doctor can prescribe medication that can help. Leakage of urine around where the catheter exits the penis also may occur and can be managed by wearing incontinence pads as described in the next section.

    It is normal for your urine to look cloudy for a few weeks after surgery. Occasionally, bleeding may occur around the catheter or be noticed within the urine. This also is common. If you see large clots â more than an inch in length â or if the catheter becomes plugged, contact your doctor. No anesthesia is required for catheter removal, and most patients experience only a little discomfort.

    After Prostate Removal The Sperm Has To Go Somewhere But Where

    Men who are facing prostate removal due to cancer will surely wonder where their sperm will go after removal of the prostate gland. Its fair to wonder about this.

    First of all, sperm is produced in the testicles.

    The testicles continue to make sperm, but because the vas deferens is clipped and cut, and because there is no prostate or seminal vesicles, there is no ejaculate, explains Michael Herman, MD, director of urologic oncology at South Nassau Communities Hospital in Oceanside, NY.

    People can continue to have orgasms, though, because the nerves that have to do with climax are unaffected, and are actually not related to whether or not someone ejaculates.

    The sperm gets broken down and reabsorbed by the body. This is the same process as if someone were abstinent or had a vasectomy.

    In short, prostate removal will not affect sperm production or quantity. It only affects what happens to the sperm once its produced.

    Unfortunately, removal of the prostate may be more of an issue to a woman than to the man, if she believes she cant enjoy intimate relations without ejaculations.

    Men who have partners like this should focus on all that can be done to treat their prostate cancer and prevent a recurrence.

    Women who feel deprived without the ejaculate need a harsh lesson in priorities.

    Prostate cancer affects one out of six men as a lifetime risk, and the number it kills every year in the U.S. averages in the high 20,000s.

    Read Also: Can You Still Have Sex With Prostate Cancer

    How Radical Prostatectomy Affects A Relationship

    A 2011 study of 63 men that had undergone a radical prostatectomy found that about 75 percent of them sought treatment for erectile dysfunction. Additionally, more than 50 percent reported having less sexual desire, and roughly an additional 40 percent were unable to have a satisfying orgasm.

    The mental health effects of these symptoms were worse in highly sexually motivated participants. 52 percent reported that this had affected their self-esteem, and 36 percent said having performance anxiety.

    Additionally, the last three items on the list above can be show-stoppers for a relationship. Few women can tolerate a high degree of urine leakage during sexual activity, and few men can handle the pain during intercourse.

    How Effective Is Turp And What Consequences Can It Have

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    Studies have shown that TURP can permanently reduce prostate-related problems. Nine months after having TURP, about 75 out of 100 men only have mild symptoms. For example, at night they only need to get up to go to the bathroom once, or not at all. The other men usually still benefit from TURP, but the effect is smaller. Side effects are common, though.

    The most common side effect of TURP is dry orgasm” or “dry climax” . This is where no semen, or much less than usual, leaves the penis during ejaculation. Instead, the semen flows into the bladder. This can happen if the muscles that normally close the entrance of the bladder during ejaculation are damaged during surgery. About 65 out of 100 men have this side effect after TURP. Although dry orgasms arent harmful and usually dont affect mens sexual pleasure during orgasm, they do reduce .

    Some men are afraid that they will have erection problems after surgery. Although there is no guarantee that this wont happen, research has shown that permanent erection problems are rare. Some men even feel more comfortable with their sexuality after surgery because they no longer have bothersome symptoms such as having to go to the bathroom a lot.

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    Uk Guidelines For Keyhole Surgery

    The National Institute for Health and Care Excellence has guidelines for keyhole surgery. These state that surgeons can use it to remove cancer of the prostate but they must:

    • tell people having the surgery about the risks and benefits
    • monitor people closely
    • collect information about any problems people have and report on them

    Researchers are looking into whether keyhole surgery is as good as open surgery.

    Known Side Effects Of A Radical Prostatectomy

    So, what happens to a man when he has his prostate removed? There is a multitude of effects that occur to men after they have had prostate removal surgery.

    The procedure is major pelvic surgery, and, as such, it carries along with it many potential risks. In addition to the immediate effects of the surgery, the removal of the prostate causes long-term side effects that are generally permanent.

    Until recently, these side effects about what happens to a man when he has his prostate removed have not been relatively well-classified.

    Most side effects are those reported by urologists that are performing the surgery. This reporting has been, in past years, rather poorly detailed and sparse due to the surgeons not anxious to publicize the failures of a procedure, they have attached a gold standard label.

    The most reported side effects are erectile dysfunction and urinary incontinence.

    Unfortunately, even though doctors have filed reports, the bias of the doctors filing them is questionable.

    For example, one report details one of the significant side effects, postoperative erectile dysfunction, occurs between 14 and 90 percent of patients. This is a relatively wide range.

    Based on my many years of practice, it is a very optimistic estimate. And it is likely provided by urologists who either do not want to admit their procedure causes such harm or deny the side effects and results.

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    What Does The Prostate Do

    The prostate is a male gland that releases prostate fluid, one of the components of semen.

    The muscles of the prostate gland help propel this fluid into the urethra during ejaculation.

    It is a muscular gland that is often described as walnut or small apricot-sized.

    An enlarged prostate can be a sign of prostate cancer, the third biggest cancer killer.

    Open Radical Prostatectomy Vs Minimally Invasive Radical Prostatectomy

    Doug Pearman: Robotics in surgery

    In 2003, only 9.2% of radical prostatectomies were done using a minimally invasive procedure. By 2007, that number had jumped to 43.2%. In 2009, researchers in Boston reported on a study that compared outcomes, benefits, and complications of open surgery vs. minimally invasive surgery:

    • No difference was found in deaths or in the need for additional cancer therapy between the two approaches.
    • The median hospital stay was two days for minimally invasive surgery and three days for open surgery.
    • 2.7% of men having laparoscopic surgery required a blood transfusion compared with 20.8% of men having open surgery.
    • There was more anastomotic stricture — narrowing of the suture where internal body parts are rejoined — for open surgery than for minimally invasive surgery .
    • There were fewer respiratory complications with minimally invasive surgery than with open surgery .
    • There were lower rates of incontinence and erectile dysfunction with open surgery. The overall rate was 4.7% for laparoscopic surgery and 2.1% for open surgery.

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    What Is A Radical Prostatectomy

    Surgery to remove the prostate is called a radical prostatectomy. Before the operation, the surgeon will explain what will happen and tell you about the possible side effects. They may also tell you about other treatments that may help in your situation, such as radiotherapy.

    The aim of the surgery is to remove all of the cancer cells. It is usually only done when the cancer is contained within the prostate and has not spread to the surrounding area.

    When Should I See My Healthcare Provider

    Talk to your healthcare provider if you have any of these symptoms after your surgery:

    • Bleeding, swelling or drainage from the incisions.
    • Inability to have a bowel movement.
    • Inability to urinate after catheter removal.
    • Increased pain around the incisions.

    A note from Cleveland Clinic

    Radical prostatectomy is a common surgery to remove the entire prostate gland. This prostate cancer surgery may be robotic surgery or open surgery. Robotic surgery has a shorter recovery time. Full recovery can take weeks, with some side effects lasting for months. Light exercise and medication can help you heal faster.

    Last reviewed by a Cleveland Clinic medical professional on 08/03/2021.

    References

    Also Check: What Does An Mri Of The Prostate Show

    Why Is Radical Prostatectomy Done

    Radical prostatectomy is a treatment for prostate cancer that prevents cancer from spreading outside the prostate gland. It may cure prostate cancer by removing it completely.

    For patients diagnosed with prostate cancer, additional tests may be needed to determine the how far the cancer has spread. These tests help your provider decide if you are a candidate for radical prostatectomy:

    Surgery To Remove Your Prostate Gland

    Video 10 – Constipation during Your Surgery Recovery – Mark’s Prostate Cancer Experience

    You might have surgery to remove your prostate gland if:

    • your cancer hasn’t spread outside the prostate gland
    • you are younger and have a fast growing tumour
    • as part of treatment for locally advanced or high risk localised prostate cancer

    The aim of a radical prostatectomy operation is to cure prostate cancer. It is major surgery with some possible side effects. If you’re an older man with a slow growing prostate cancer, this type of surgery may not be necessary for you. This is because your cancer might grow so slowly that you’re more likely to die of old age or other causes than from prostate cancer.

    Recommended Reading: Does Prostate Cancer Make You Tired

    How Will Prostate Surgery Affect My Sex Life

    Experienced robotic surgeons like Dr. David Samadi dont open the endopelvic fascia during surgery, which spares the rick of damage to nerve bundles that control sexual function. The recovery of the function, however, is not immediate and you should not feel discouraged if weeks or even a few months after surgery you experience erectile dysfunction. It is not an indication of long-term damage.

    One major change that you will notice in your sex life is the absence of sperm. Having no prostate, the body will not produce semen during the orgasm. The sperm cells will be simply reabsorbed by the body them. This is not harmful and you shouldnt be worried about it. Plenty of men deal with the problem with the help of medication that improves erectile dysfunction.

    What Are The Side Effects

    The most common side effects of surgery are leaking urine and problems with getting or keeping an erection .

    Your risk of getting these side effects depends on your overall health and age, how far the cancer has spread in and around the prostate and how likely it is to grow, and your surgeons skill and experience.

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    What Does The Prostate Actually Do

    One of the prostates most important functions is helping in the creation of semen. It does this by creating a fluid that combines with sperm cells from the testicles and fluids from other glands to create semen.

    The muscles of the prostate also play a pretty important role in helping expel the semen during ejaculation as well as letting urine flow out of the body. This function is why its common for those who have had surgery or radiation treatment for prostate cancer to experience the loss of the ability to control urination.

    See also:What Does High PSA Mean?

    Dealing With Erectile Dysfunction: For You And Your Partner

    Something2Share: Prostate Check &  7 Prostate Symptoms ...

    The following information is based on the general experiences of many prostate cancer patients. Your experience may be different. If you have any questions about what prostate cancer treatment services are covered by your health insurance, please contact your health care provider or health insurance provider. This education material was made possible by a Grant from the California Department of Justice, Antitrust Law Section, from litigation settlement funds to benefit Californians diagnosed with cancer or their families.

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    How Serious Is My Cancer

    If you have prostate cancer, the doctor will want to find out how far it has spread. This is called the stage of the cancer. You may have heard other people say that their cancer was stage 1 or stage 2. Your doctor will want to find out the stage of your cancer to help decide what types of treatment might be best for you.

    The stage is based on the growth or spread of the cancer through the prostate, and if it has spread to other parts of your body. It also includes your blood PSA level and the grade of the cancer. The prostate cancer cells are given a grade, based on how they look under a microscope. Those that look very different from normal cells are given a higher grade and are likely to grow faster. The grade of your cancer might be given as a Gleason score or a Grade Group . Ask your doctor to explain the grade of your cancer. The grade also can helpdecide which treatments might be best for you.

    Your cancer can be stage 1, 2, 3, or 4. The lower the number, the less the cancer has spread. A higher number, like stage 4, means a more serious cancer that has spread outside the prostate.

    If your cancer hasn’t spread to other parts of the body, it might also be given a risk group. The risk group is based on the extent of the cancer in the prostate, your PSA level, and the results of the prostate biopsy. The risk group can help tell if other tests should be done, and what the best treatment options might be.

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