Thursday, April 11, 2024

Erectile Dysfunction After Prostate Surgery

Why Does Erectile Dysfunction Happen With Prostate Cancer Treatment

Radical Prostatectomy for Basic Teal Prostate Cancer | Prostate Cancer Staging Guide

To help you understand why prostate cancer treatment may cause you to have erectile dysfunction, it is good for you to learn how your body may be changed by your treatment. Usually when a man is sexually aroused :

Radical Prostatectomy

Radiation Therapy

Radiation therapy may damage the nerves near your prostate gland that help you have erections. Over time, you may notice that you are not having as many erections as you used to. Some men start having erectile dysfunction six months or more after their radiation therapy. If this happens, the erectile dysfunction usually does not improve.

Hormone Therapy

What Is The Problem

Some 6,500 radical prostatectomies are performed every year in the UK . In a negative association, an increase in one quantity corresponds to a decrease in the other. Association does not necessarily mean that one thing causes the other. More of Urological Surgeons, 2019). While approximately half of these men have pre-existing erectile dysfunction, over 50% of the other half can expect to lose natural erections after prostatectomy surgery, especially if their cancers are locally advanced and require wide clearance to ensure removal of the whole tumour.

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There Are Several Paths To Resuming A Satisfying Sex Life

Its estimated that prostate cancer affects 1 in 9 men, with the average age of diagnosis around 66. If caught early, its a very treatable cancer. Though treatment can save lives, it also comes with serious side effects, one of which is erectile dysfunction .

Depending on the type of surgery required and your recovery, ED can range from the mild to severe. If you or your partner is having trouble getting or maintaining an erection post-surgery, there are several treatments you can explore to return to a satisfying sex life.

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Risks Of Prostate Surgery

The risks with any type of radical prostatectomy are much like those of any major surgery. Problems during or shortly after the operation can include:

  • Reactions to anesthesia
  • Blood clots in the legs or lungs
  • Damage to nearby organs
  • Infections at the surgery site.

Rarely, part of the intestine might be injured during surgery, which could lead to infections in the abdomen and might require more surgery to fix. Injuries to the intestines are more common with laparoscopic and robotic surgeries than with the open approach.

If lymph nodes are removed, a collection of lymph fluid can form and may need to be drained.

In extremely rare cases, a man can die because of complications of this operation. Your risk depends, in part, on your overall health, your age, and the skill of your surgical team.

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Risks Of Radical Prostatectomy

What is Localized or Locally Advanced Prostate Cancer?

Radical prostatectomy has a low risk of serious complications. Death or serious disability caused by radical prostatectomy is extremely rare.

Important nerves travel through the prostate on the way to the . Skilled surgeons can usually protect most of these nerves during radical prostatectomy. Still, complications from inadvertent nerve damage do occur after radical prostatectomy. They include:

  • Urinary incontinence: More than 95% of men younger than age 50 are continent after radical prostatectomy. Around 85% of men aged 70 or older maintain continence after the operation.
  • Erectile dysfunction : Problems with erections are common after prostatectomy. Still, most men are able to have sex after prostatectomy while using medicines for ED , an external pump, or injectable medications. The younger the man, the higher the chance of maintaining potency after prostatectomy. A period of penile rehabilitation is often necessary.

Much of the skill involved in radical prostatectomy centers on sparing these nerves during the operation. A man undergoing radical prostatectomy by a surgeon at an advanced prostate cancer center has a better chance of maintaining sexual and urinary function.

Other complications of radical prostatectomy include:

  • Bleeding after the operation
  • Narrowing of the urethra, blocking urine flow

Less than 10% of men experience complications after prostatectomy, and these are usually treatable or short-term.

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Learn More About Erectile Dysfunction Treatments

Dealing with erectile dysfunction can be a stressful process. However, almost all cases of ED are treatable. Our guide to the treatment options for ED covers the most effective options for improving your sexual performance, from medications to psychotherapy and more.

We’re here to help you mate, mate

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment or medication.

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What Happens At Your Appointment

The doctor or nurse will ask about your lifestyle and relationships, and any problems you might be having.

Theyll carry out basic health checks, such as taking your blood pressure.

Theyll also examine your genitals to rule out any obvious physical cause.

If you have symptoms like needing to pee more often, you may also need to have an examination of your prostate.

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Chemotherapy Drugs For Prostate Cancer

The drugs listed above are only a sample of what is available and is used to illustrate a truth. Because of the range and variety of drugs used in both these treatments the impact on sexual function can range from sever to insignificant.

Hormone replacement therapy for prostate cancer, for example, can often impact sex drive rather that create erectile dysfunction. It is important to work with your physician to explore all available treatment options. How to keep a healthy erection?

Differences Between Hcp Opinions

How and Why Prostate Cancer Treatment Affects Mens Lives

Importantly, we found considerable differences between HCP opinions regarding lead roles in the initiation, monitoring and follow-up of ED management such confusion could easily lead to inadequate management and contradictory advice, as was evident from the mens survey results. These findings may reflect financial considerations and, in the case of nurses, whether or not they have a prescribing role. The increased role of primary care in the follow-up of patients with prostate cancer requires unified management guidelines and support from Clinical Commissioning Groups regarding GP prescribing of relevant treatments with local guidelines and shared care protocols. While urologists and specialist ED clinics were most commonly identified as being responsible for prescribing ED treatment, this management route inevitably leads to delays, due to the need for specialist referral and limited access to specialist ED clinics.

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Surgical Options And Implants

Surgical options for penile rehabilitation present a more severe approach to ED symptoms, once again sending the patient under the knife for results.

Penile prosthesis and inflatable devices should largely be considered a last option after other treatments have failed, as risks can include infection and erosion. But assuming theyre working properly, they are 100 percent effective.

Psychological Treatment And Therapy

Along with treating the physical symptoms of ED during sex after prostatectomy, its important to consider psychological treatments as well, including therapy.

Even after life-saving surgery, ED can wreak havoc on self confidence, relationships, and ED can be associated with a higher risk of depression.

Men suffering from ED avoid seeking medical help. Studies have shown that more than half of men could not accept that they had ED, and that the median time to pursue treatment was two years.

A study of men with and without prostate cancer found that only half of men were interested in seeking treatment, and its estimated that 50 percent to 80 percent of men discontinue treatment within a year.

If youre experiencing depression, anxiety or psychological distress associated with prostate cancer or the side effects of prostate cancer treatment, you should consider talking to a mental health professional.

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Is There Sex After Prostate Cancer Surgery

The surgical procedures that are needed in order to cure prostate cancer are invasive and may lead to long-term side effects. One of these side effects is impotence.

Nevertheless, even in the most severe cases of prostate cancer surgery, the affliction to ones sexual life can be reversible. Through extensive efforts over a period of around 12 months, a man who previously had a normal sexual function can regain potency. This is called penile rehabilitation which usually resorts to drugs or devices in order to accelerate the recovery of erectile function.

Habits And Lifestyle Changes

Erectile Dysfunction Symptoms, Risk Factors, and Diagnosis

Your healthcare provider may recommend making certain changes to your habits and lifestyle to promote blood flow and improve your erectile health. These may include:

  • Treating any underlying health issues

  • Changing your eating habits to maintain a healthy weight

  • Exercising regularly to improve your cardiovascular health

  • If you smoke, quitting smoking and nicotine products

  • Limiting your consumption of alcohol

Weve talked more about the effects of good habits and lifestyle changes on ED in our guide to naturally protecting your erection.

Although these changes are unlikely to treat prostatectomy-related erectile dysfunction on their own, they can contribute to an increase in blood flow, better overall health and improved sexual function.

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Managing Erectile Dysfunction After Prostate Cancer Treatment

Victoria Stainer

Victoria Stainer is a Speciality Trainee in Urology at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Rachel Skews

Rachel Skews is a Urology Nurse Specialist at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Jonathan J Aning

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 at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Rachel Skews

Rachel Skews is a Urology Nurse Specialist at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Jonathan J Aning

Jonathan J Aning is a Consultant Urological Surgeon at Bristol Urological Institute, Southmead Hospital, North Bristol NHS Trust, Bristol

Why Do Nerves Need To Regenerate If They Were Not Removed

Regenerating prostate nerves is a key component of functional recovery. Nerve repair is a complex biological process. Although the prostate nerve can naturally regenerate and regrow, it might not do so properly when there is significant damage.

Therefore, a tangled mass of scar tissue can hinder normal nerve function and could trigger chronic pain. The process of regenerating nerves after surgery can be very painful. During the natural penile nerve damage repair, patients often experience unpleasant sensations.

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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.

Sexual Dysfunction After Non

Tom Had a Quick Recovery after Robotic Prostate Surgery at NWH

A 2017 study found that erectile dysfunction was common regardless of the treatment modality used for PCa.

  • ED reportedly increases during each year of follow-up after initial surgical or non-surgical intervention .
  • Men who have undergone hormone deprivation treatment as a management strategy for Prostate Cancer have lowered or absent testosterone levels and this negatively affect their sexual desire or libido

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Patient And Public Involvement Statement

The Prostate Cancer UK Policy & Campaigns Forum, consisting of men living with and after prostate cancer, initially raised the issues around ED after prostate cancer treatment as a suggested area of work for Prostate Cancer UK to focus on. The Forum members were subsequently involved in the planning of the study, including development of the research questions and survey design.

The Impact Of An Enlarged Prostate On Erectile Dysfunction

It is easy to see a symptom while misunderstanding the underlying cause.

Erectile dysfunction is a common medical condition that impacts more than a third of men at some point in their lives. As men get older, they tend to struggle more commonly with erectile dysfunction . There are many other health issues for men as they get older. Some of these health risks may have an impact on their ED as well.

One common area with troubling conditions for aging men is their prostate. Their prostates can be a source of cancer, but even when they are cancer-free, they may have an enlarged prostate called Benign Prostatic Hyperplasia . In this article, we will focus on how BPH impacts mens health and how that may contribute to erectile dysfunction.

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Ed Can Improve Years After Prostate Surgery

Researchers Say Men Show Improvement in Sexual Function 2 Years After Prostatectomy

June 1, 2010 — If your sexual function’s not what it used to be a year or two after prostate surgery, hang in there.

Men who are having trouble achieving erections after prostatectomy for prostate cancer can achieve improvement in function that’s sufficient for sexual intercourse more than two years later, researchers say.

“The message to patients who have erectile dysfunction — even those who have failed to have erections after surgery — is that improvement does occur in a substantial number of men,” says researcher Jeffrey Schiff, MD, a resident in urology at the State University of New York Downstate Medical Center in Brooklyn, New York.

Overall, one-third of men with marginal erectile function and one-fourth of men with serious erectile dysfunction 24 months after surgery continue to have improvement in erectile function on follow-up visits, he tells WebMD.

The findings were reported here at the 105th annual meeting of the American Urological Association .

Erectile Dysfunction After Prostate Surgery

Low Intensity Shock Wave For Ed/ Edswt Erectile Dysfunction Shockwave ...

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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Ed After Prostate Surgery

ED after prostate surgery is a classic complaint among men. Erectile dysfunction after prostatectomy surgery can have a drastic impact on the quality of life in patients.

Studies indicate that around 60% of patients struggle with erectile dysfunction 18 months after the procedure. And less than 30% have firm erections to have sex after 5 years.

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.

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Management Of Ed In Primary Care

In particular, there seemed to be inadequate management of ED in primary care, including failure to implement early and structured strategies, combination ED management strategies and, in some instances, any ED treatment at all. These issues seemed to reflect restricted access to treatments and services and lack of confidence in managing ED. This suggests a need for better targeted training and education, particularly for practice nurses. Many GPs see relatively few patients with prostate cancer, whereas practice nurses encounter men with ED more frequently, presumably when administering ADT injections or providing care for concomitant conditions, such as diabetes. In the UK there has been minimal undergraduate/postgraduate education in sexual medicine and human sexuality. We also found a lack of assessment of EF before and after prostate cancer treatment, with low usage of formal/validated measurement instruments and no routine structured evaluation of ED management efficacy.

Can Erectile Dysfunction Be Treated

Michael Metro, MD Quality of Life Issues After Prostate Cancer Treatment Temple Urology

Having prostate cancer is an upsetting and stressful experience having erectile dysfunction as a consequence of treatment to help treat your cancer can feel like a cruel twist of fate.

But the good news is, in most cases, erectile dysfunction can be treated, and often, erectile dysfunction will improve with time and require no further treatment.

There are numerous treatments for erectile dysfunction including:

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