Will Prostate Cause Erectile Dysfunction

Is It Possible To Cure Erectile Dysfunction

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Pelvic Radiation Therapy Effect On Erections

Prostate, bladder, colon, and rectal cancer are sometimes treated with radiation to the pelvis. This can cause problems with erections. The higher the total dose of radiation and the wider the section of the pelvis treated, the greater the chance of erection problems later. If radiation therapy is part of your treatment plan, talk to your doctor before it starts. Ask how your arteries and nerves might be affected by radiation therapy so you know what to expect.

Does Tight Underwear Affect Erectile Dysfunction

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What Is The Importance Of Preserved Erectile Function

In considering the impact of the various treatment approaches for prostate cancer on their quality of life, many patients place paramount importance on the possibility of retaining natural erectile function. This matter is frequently important to young men who by age status are more likely to have intact erectile function than older men however, for all men having normal preoperative erectile function irrespective of age, preservation of this function is understandably important postoperatively.

How Is Benign Prostatic Hyperplasia Treated

The treatment of BPH¹ varies. When diagnosing BPH, doctors can use a specially-designed survey to determine what symptoms youre experiencing and how much your quality of life is affected by it.

If symptoms are mild or do not affect your quality of life much, your doctor might delay treatment and see how the symptoms progress while providing advice about lifestyle changes to manage symptoms. Some changes might include reducing caffeine and alcohol and changing some medications.

Some people’s symptoms are more severe and affect their quality of life, or their mild symptoms might worsen.

In these situations, you may need medication. Your doctor may prescribe several types of medicines depending on how bad your symptoms are and any allergies or other conditions you may have.

Various medications work for different types of BPH. Some people have mainly storage symptoms. Drugs used for this type of BPH include:

Other men have mostly voiding symptoms. Treatments for voiding symptoms include:

Possible associations¹ exist between some medications that treat BPH and sexual problems like ED. These vary from person to person and by drug.

Surgical treatments for BPH are also available. Surgery is often necessary when medication has not relieved symptoms or improved quality of life. Your doctor may suggest it if symptoms are severe and cause other serious health impacts like bladder stones.

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What Will I Learn By Reading This

When you have treatment for your prostate cancer, you may have erectile dysfunction also known as impotence. Erectile dysfunction is a very common side effect . Side effects from prostate cancer treatment are different from one man to the next. They may also be different from one treatment to the next. Some men have no erectile dysfunction. The good news is that there are ways to deal with erectile dysfunction. In this booklet you will learn:

• What erectile dysfunction is
• 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

It is important for you to learn how to deal with erectile dysfunction so that you can continue to have a satisfying intimate relationship.

When Can Erectile Dysfunction Occur After Prostate Cancer Treatment

• Radical prostatectomy.Erectile dysfunction can begin immediately following the removal of the entire prostate and surrounding tissues, whether the nerve-sparing or non-nerve-sparing technique is used. If the nerve-sparing technique is used, recovery from ED may occur within the first year following the procedure. Recovery of erectile function after a non-nerve-sparing technique is unlikely but possible.
• Radiation therapy. The onset of ED following radiation therapy is gradual and usually begins within 2 to 3 years following treatment. Without treatment for erectile dysfunction, ED is usually permanent.
• Hormone therapy. When hormone therapy is used, ED may occur approximately two to four weeks following the initiation of the therapy and is usually accompanied by a decreased desire for sex. Without treatment, the ED may become permanent.

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Can An Enlarged Prostate Cause Ed

While an enlarged prostate does not cause ED, some BPH treatments may affect the ability to keep an erection, so its important to talk to your doctor to understand possible BPH treatment side effects.

Certain BPH medications may cause decreased sex drive and ED as a side effect.4 For instance, studies have shown a connection between certain anti-testosterone drugs and ED.5 If BPH symptoms continue even after medication therapy, your doctor may suggest a surgical treatment to remove the extra prostate tissue causing your BPH. However, surgical treatment also comes with side effects. A common surgical treatment, transurethral resection of the prostate , has also been shown to cause ED in a small percentage of men.5

You and your doctor may discuss a minimally invasive BPH treatment option, Rezm Water Vapor Therapy. Rezm Therapy treats the cause of BPH by using the natural energy stored in water vapor to remove the extra prostate tissue that is causing urinary issues while preserving sexual function. A five-year clinical study showed that men who had treatment with Rezm Therapy for their BPH did not suffer any procedure-related ED.6 It also showed that the quality of life improved for those men who had Rezm Therapy.6 Learn more about how Rezm Therapy works.

Prostate Cancer Definition Symptoms And Complications

What is prostate cancer?

The prostate is a small gland in the male reproductive system that produces seminal fluid. The prostate is located just below the bladder and in front of the rectum.

Cancer beginning in the prostate occurs when abnormal cells begin to grow out of control in the prostate tissue, often first detected as an unusual lump in the tissue. The tumors beginning in these organs can spread to lymph nodes, tissues and other organs in the lower abdomen as the cancer progresses.

After skin cancer, prostate cancer is the most common cancer among people assigned male at birth and one of the leading causes of cancer death among men in the United States. This is largely because many prostate cancers are detected late, when treatment is most difficult. With early detection, prostate cancer is very curable.

The risk of developing prostate cancer increases with age. Regular screenings are vitally important. Screening also increases the likelihood of catching prostate cancer in its earlier stages, when it is easier to treat.

What are the symptoms of prostate cancer?

• Frequent urination
• Trouble starting the flow of urine
• Trouble emptying the bladder completely
• Pain or burning while urinating
• Pain in the back, hips, or pelvis that doesnt go away

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Prostate Diseases And Erectile Dysfunction

As men get older, it’s normal for the prostate to grow and become enlarged. Men may encounter some of the following prostate diseases.

Three common forms of prostate disease:

• Benign prostatic hyperplasia

• Prostate cancer

All of these conditions have symptoms that overlap. It’s important to not self-diagnose and jump to conclusions. Instead, consult your doctor to schedule a physical exam and further discuss your symptoms. Your physician may also refer you to a urologist. A urologist specializes in urinary tract diseases and the male reproductive system.

An enlarged prostate can cause sexual dysfunction, low libido, and pain or discomfort when urinating. Below we’ll explore the potential causes of an enlarged prostate and how they relate to healthy sexual function.

How Can A Swollen Prostate Cause Erectile Dysfunction

If you know anything about prostatic diseases, then you may be aware of how strongly they can affect the quality of life.

A condition like benign prostatic hyperplasia may cause lower urinary tract symptoms .

Urinary tract infections , bladder damage, blood in the urine, as well as urinary retention are often complications that result from BPH.

In understanding how BPH may lead to ED, letâs get familiar with a little something called the alpha 1-adrenergic receptor.

In BPH, there is an imbalance in the autonomic control of smooth muscles, their contraction and relaxation.

This leads to increased smooth muscle tone in the prostate. Increased smooth muscle tone is caused by the a1-adrenergic receptor.

When this receptor is activated by noradrenaline , the penile tissues are contracted.

Erectile dysfunction favors the contraction of smooth muscles which encourages detumescence, and complicates the relaxation of these muscles, which is responsible for erections.

It is believed that 70 percent of men with BPH have an associated erectile dysfunction.

With prostatitis, erectile dysfunction may be induced by the pain caused from the condition.

If you suffer from chronic bacterial prostatitis for example, it isnt uncommon to experience pain in the genital area and groin.

This pain can last for three months and above.

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What Are Some Sexual Problems Of Men With Benign Prostatic Hyperplasia

BPH medication is also known to cause sexual problems.

The relationship between sexual problems and BPH is complicated, and experts dont know exactly how it works. The links between BPH and sexual difficulties could be physical, psychological, or both.

Sometimes, men have to have medications¹ or surgeries¹¹ for BPH, which can cause ED and other sexual issues.

How Do Doctors Perform Prostate Removal

During prostate removal the prostate gland and some tissue around the gland, including the seminal vesicles, are removed. A prostatectomy takes about two hours and is performed under general anesthesia.

There are two approaches used for a prostatectomy:

• Robotic surgery
• Minimally invasive procedure with faster recovery time
• Uses smaller incisions and robotic technology

Uses traditional incisions and tools

May be used for more complex cases

The surgical process is as follows:

• The doctor will make a small incision to gain access to the prostate
• The prostate is removed
• The bladder is reconnected to the urethra
• A catheter is connected to the bladder to allow urine to drain while the area heals

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I Am Experiencing Difficulty Achieving Or Maintaining An Erection Could This Be Due To Prostate Disease

Your difficulty achieving or maintaining an erection may be caused by prostate disease. You should discuss your individual situation with your doctor to determine the cause of your ED and find a treatment that may best suit you.

Pay attention to frequency so that you can tell if this is becoming a usual problem.

Pathophysiology Of Erectile Dysfunction And Prostate Biopsy

The risk of developing temporary erectile dysfunction is largely dependent on the number and volume of tissue samples obtained during the procedure. Needless to say that the risk is greater if more biopsies are taken.

There are three primary types of prostate biopsies a typical standard one utilizes only 1 needle to take no more than 10 samples. The risk of complications like erectile dysfunction is higher if more than 10 tissues samples are obtained or if any type of nerve block is used for pain reduction.

According to a new study, investigators evaluated the risk of erectile dysfunction in men who undergo prostate biopsy. 25% of men in the study sample who underwent standard saturation biopsy admitted that they had erectile dysfunction before the biopsy but the percentage went up to 50% just a week after the procedure. The group in which men had nerve block, erectile dysfunction rate raised to 39% from 11% after the biopsy. However, by12th week post-procedure, the transient erectile dysfunction resolved in the study sample suggesting no nerve damage or dysfunction takes places during the procedure.

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Causes Of An Enlarged Prostate

We dont actually know what causes prostate enlargement. Potential factors include:

We do know that men who have their testicles removed â for example, due to testicular cancer â do not experience prostate enlargement.

If the testicles are removed after prostate enlargement occurs, the prostate begins to shrink

What we do know is that:

• Your chances of developing an enlarged prostate increase with age
• Enlarged prostates are so common that its believed all males will eventually experience an enlarged prostate if they live long enough. In fact, over 90% of males over 80 have BPH.
• There are no specific risk factors for prostate enlargement, other than having testicles.

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Atenolol Erectile Dysfunction Mechanism

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What Are The Current Expectations With Regard To Outcomes After Radical Prostatectomy

Following a series of anatomical discoveries of the prostate and its surrounding structures about 2 decades ago, changes in the surgical approach permitted the procedure to be performed with significantly improved outcomes. Now after the surgery, expectations are that physical capacity is fully recovered in most patients within several weeks, return of urinary continence is achieved by more than 95% of patients within a few months, and erection recovery with ability to engage in sexual intercourse is regained by most patients with or without oral phosphodiesterase 5 inhibitors within 2 years.

Recovery After Prostate Surgery

After a prostatectomy, you may experience ED for weeks, a year, or even longer. This is because of the trauma caused to the nerves responsible for erection during the surgery.

ED may take longer to recover during a radical prostatectomy compared to minimally invasive prostate surgery. If you had symptoms of ED before the surgery, they would not be resolved after the surgery.

Better techniques and approaches to prostate surgery have resulted in better outcomes for men. Men with a healthy erectile function before the surgery may heal faster after the surgery.

However, around half of the men who undergo this surgery regain their pre-surgery erectile functions within the first year post the surgery.

Men suffering from diabetes, cardiovascular disease, obesity, or those addicted to smoking or excessive alcohol consumption, may find it tougher to regain their erectile functions.

Old age is also a major factor affecting ED. The problems of ED can be combatted with a healthier lifestyle inclusive of regular exercise, a healthy diet, and low stress.

Doctors may suggest some ED medications to help you regain your erectile functions. However, these chemical drugs may have some side effects with regular use.

There are some other non-medical options too. Recovery after a prostatectomy is possible. You should talk to your doctor about the possible options. We have discussed the options in the section below.

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