Prostate Restored
Photo: Irina Iriser
ED treatment Medications or devices can help ED recovery after surgery. Popular ED medications, such as sildenafil (Viagra) and tadalafil (Cialis) can be effective. About 75 percent of men who undergo nerve sparing radical prostatectomy can achieve successful erections with these drugs.
If you do not clean the vagina after urination, there is a risk of getting an infection. Actually, even after urinating, some drops stay in the...
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So if we remove the prostate, what is starting stopping urinary flow? The answer is nothing! If there is urine in the bladder (and there always...
Read More »Prostate cancer Prostate cancer affects an estimated 1 in 7 men . Fortunately, it’s very treatable, especially if caught early. Treatment can save lives, but it can also cause serious side effects. One of the most common side effects is impotence, also known as erectile dysfunction (ED). What is ED? An erection is achieved when the brain sends sexual arousal signals to the nerves in the penis. The nerves then signal blood vessels in the penis to expand. Blood flow to the penis increases and makes it erect. ED is a condition that occurs when a man cannot achieve an erection or maintain an erection long enough to have sexual intercourse or achieve orgasm. Emotions and problems with the nervous system, blood vessels, and hormones can cause ED. Surgery for prostate cancer and ED Prostate cancer tends to be a slow-growing cancer. Surgery may be a good option if your doctor believes the cancer is contained in the prostate gland. Surgery is also dependent on age, overall health, and other factors. A radical prostatectomy involves the removal of the prostate gland. The prostate gland is a donut-shaped gland that surrounds the urethra just below the bladder. The urethra carries urine and semen out from the body through the penis. There are some risks associated with surgery. Two small bundles of nerves on either side of the prostate are vulnerable to injury during the operation. A type of operation called “nerve sparing” surgery may be possible. This depends on the size and location of the cancer. Surgery may require removal of some nerves if there’s a chance the cancer has invaded one or both sets of nerves. If both sets of nerves are removed, you may not be able to achieve an erection without the assistance of medical devices. Recovery After the surgery, you may experience ED for a few weeks, a year, or longer. That’s because surgery can injure any of the nerves, muscles, and blood vessels involved in getting an erection. There are also other factors that affect ED during recovery. So, it’s difficult to predict your own recovery. Injury to nerve tissue during a radical prostatectomy can cause a longer recovery. If you were experiencing ED before the surgery, it won’t be resolved after surgery. Improvements in prostate surgery techniques have led to much better outcomes for many men. Healthier erectile function before surgery can also help predict a better outcome. The Prostate Cancer Foundation reports that about half of men who undergo nerve sparing surgery will regain their pre-surgery function within the first year after surgery. Other factors can also affect your sexual health, including: older age
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