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Early Penile Rehabilitation After Surgery
As mentioned before, the recovery time for erections after surgery can be up to 2 years. If a man does not have an erection during this time period, the tissues in his penis may weaken. Once this happens, he will not be able to get an erection naturally. Some experts and doctors recommend different methods to promote erections starting within weeks or months after surgery to help some men recover sexual function. You may hear this called penile rehabilitation, or erectile rehabilitation.
Penile rehabilitation has 2 parts:
Making sure you are getting regular erections that are hard enough for penetration. Its best if you can have an erection 2 to 3 times a week. This will help keep the tissue in your penis healthy.
Using a low-dose pill to help the blood flow around the nerves and help the nerves heal.
Medicines to help produce erections pills such as sildenafil , tadalafil , or vardenafil are typically used in combination with other therapies or devices. Since the drugs might not produce an erection because they need the nerves responsible for erections to be healthy, penile injections or vacuum devices might be offered. See Managing Male Sexual Problems Related to Cancer to learn more.
How Does Prostatitis Cause Erectile Dysfunction
Prostatitis, literally, your prostate is experiencing swelling and inflammation, generally causing painful or difficult urination. It is common in men aged around 50. When it comes to prostatitis, questions about erectile dysfunction or other sexual difficulties often come along. They do relate to each other.
According to a recent study from Memorial Sloan Kettering Cancer Center, histological prostatitis plays an notable role in mens sexual function. Compared with men without prostatitis, those who have been diagnosed with histological prostatitis suffer from the erectile dysfunction to a more severe degree. Put simply, prostate, the walnut-sized gland where semen is produced,once it is inflamed, it turns hard for men to have erections. Thats why erectile dysfunction is a major problem among men with prostatitis.
Men or their family should be aware of this possibility. Early awareness and prevention is a booster for a better sexual life.
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What Determines Erection Recovery After Surgery
The most obvious determinant of postoperative erectile dysfunction is preoperative potency status. Some men may experience a decline in erectile function over time, as an age-dependent process. Furthermore, postoperative erectile dysfunction is compounded in some patients by preexisting risk factors that include older age, comorbid disease states , lifestyle factors , and the use of medications such as antihypertensive agents that have antierectile effects.
I Have Ed After Getting Prostate Surgery What Now
For treating erectile dysfunction after prostate surgery, , , and are considered first-line therapies. Research has shown that these drugs help improve erectile function by relaxing the blood vessels that supply the penis so more blood can flow through. They might not work right after surgery, though. One reason for that is that blood may not flow easily through blood vessels that are still healing. However, after the blood vessels have healed enough, medication is likely to help with ED. Between 35% and 75% of men with ED after surgery respond to Viagra .
If Viagra, Cialis, and/or Levitra dont work, or theyre not an option due to other issues , alprostadil may be used instead. Alprostadil comes as an injection and as a pill to be inserted into the urethra . Read more about these drugs here.
What if drugs dont work?
Unfortunately, medications wont help all men with ED after prostate surgery. If youve tried medications and still have ED, you may want to have a close conversation with your doctor about whether or not surgery or mechanical devices are good options for you. Remember, though, that it may take several years before you know for sure if drugs wont work, as tissue around the prostate takes a while to heal.
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Psychological Effects Of Cancer Treatment On Erections
Many men report disappointment, fear, and distress when they have trouble with erections. They report they feel that something important is missing. Men may report a general unhappiness with life and depression when they have problems with erections. These feelings are a natural part of coping with erection problems. And most men, if they are able find effective treatments to help with their erections, will start to feel better. If these feelings are severe or persist, most men find it very helpful to see a mental health professional who specializes in sexual issues or a psychiatrist who can help address these feelings.
Worries about self-image and performance can sometimes lead to erection problems, too. Instead of letting go and feeling excited, a man may focus on whether he will be able to function, and fear of failure might make it happen. He may blame the resulting problem on his medical condition, even though he might be able to have an erection if he were able to relax.
A therapist or mental health professional who specializes in helping patients with sexual issues can often assist in the treatment of erection problems caused by anxiety and stress. Any treatment for an erection problem should be based on the results of a thorough exam, which should include both medical questions and certain medical tests.
Are There New Strategies In The Near Future That May Be Helpful In Improving Erection Recovery After Surgery
Recent strategies have included cavernous nerve interposition grafting and neuromodulatory therapy. The former, as a surgical innovation meant to reestablish continuity of the nerve tissue to the penis may be particularly applicable when nerve tissue has been excised during prostate removal. In the modern era of commonly early diagnosed prostate cancer, nerve-sparing technique remains indicated for the majority of surgically treated patients.
Neuromodulatory therapy, represents an exciting, rapidly developing approach to revitalize intact nerves and promote nerve growth. Therapeutic prospects include neurotrophins, neuroimmunophilin ligands, neuronal cell death inhibitors, nerve guides, tissue engineering/stem cell therapy, electrical stimulation, and even gene therapy.
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Can I Have An Orgasm Without An Erection
Yes. An erection is not necessary for orgasm or ejaculation. Even if a man cannot have an erection or can only get or keep a partial erection, with the right sexual stimulation you can experience an orgasm. Your orgasm has little to do with your prostate gland. As long as you have normal skin sensation, you can have an orgasm.
How Effective Is Injection Therapy With Each Type Of Treatment
If oral erectile dysfunction drugs fail, injections into the penis can be an effective form of treatment for men who have undergone surgery or who have received radiation therapy for prostate cancer.
Overall, up to 80% of men will regain erections with the use of injection treatments. Side effects include occasional pain due to one of the drugs used for injection therapy, and the development of scar tissue.
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How Effective Are Oral Erectile Dysfunction Drugs
- Following surgery, up to 70% of men who have had nerves spared on both sides of the prostate will regain erections with the use of one or more oral drugs for erectile dysfunction. Results are less favorable for men who have had a single nerve spared or no nerves spared.
- Following radiation therapy, overall, 50% to 60% of men regain erections with medication. However, current data are rather limited, especially for patients treated with radioactive seed implants.
- Hormone therapy. Men treated with hormone therapy do not respond well to any erectile dysfunction treatments, but data are limited.
Pde5 Inhibitors: Viagra Levitra And Cialis
Approved by the FDA in 1998, sildenafil revolutionized the way we think about and treat erectile dysfunction, largely because it is so easy to use and effective. Since then the FDA has approved three closely related drugs, vardenafil , avanafil and tadalafil .
All four drugs work in a similar fashion, by affecting the normal physiology of the penis. In particular, they block PDE5, an enzyme that breaks down the erection-producing chemical cyclic guanosine monophosphate. This enables the penis to fill with blood and to stay erect long enough for intercourse. Of course, its important to realize that none of these drugs is an aphrodisiac. Youve got to feel sexually stimulated in order for them to work.
The main differences between the drugs have to do with timing: how quickly they begin to work, and how long their effects last . Levitra may start working slightly faster than Viagra although the FDA says that like Viagra, it should be taken about an hour before sexual activity. Some studies suggest that Levitra may help some men who dont respond to Viagra. And while some doctors are skeptical about this claim, theres no harm in trying Levitra or Cialis if Viagra doesnt work for you.
Cialis has also been approved to treat men with both erectile dysfunction and BPH. The dose is lower, usually 5 milligrams per day.
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Histopathological Features Of Prostate Tissues In Eap Rats
As shown in Fig. , in the EAP rats, inhomogeneous tissue hyperplasia and ductal dilation or damage could be observed in the prostate glands. Partial basal lamina was destroyed with the infiltration of chronic inflammatory cells. While in rats of control group, the glandular epithelium structure of prostate glands was integrated and clear without inflammatory cells infiltration and tissue hyperplasia. The histopathological features of prostate tissues in our study conformed to the diagnosis criteria about the rat model of experimental prostatitis that mimic the human CP/CPPS .
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Safer Than Penetrative Sex
Are there any known health risks to masturbation?None of significance, Mutambirwa said. As any form of sex is exercise, the act of masturbation will have a protective role in preventing cardiovascular disease and depression.
When compared to penetrative sex, masturbation is safer as penetrative sex can lead to sexually transmitted infections.
According toMedical News Today, most negative effects associated with masturbation focus on how someone feels about the act itself, rather than the physical implications on the body.
Mutambirwa said if masturbation was causing psychological problems, the person should seek professional help from a mental health expert.
Effects Of Prostate Cancer On Sexual Function
In Korea, due to the westernization of dietary habits, the incidence of prostate cancer has shown a gradual increase in the past decade. Not only the psychological stress caused by the prostate cancer itself but also problems such as ED act as factors in the deterioration of quality of life. One study examining the view of prostate cancer patients with regard to sexual function in comparison with that of males without prostate cancer has been reported . The level of stress in regard to the four categories-sexual desire, erectile function, level of satisfaction during sexual activity, and ejaculatory volume-was examined. Psychological burdens in prostate cancer patients were observed to be higher in all categories, and 25% more prostate cancer patients reported having sexual dysfunction than patients without prostate cancer. Furthermore, most males considered preservation of sexual function to be of importance nonetheless, a trend in selection of treatment for prostate cancer first was demonstrated . Sexual function of prostate cancer patients is affected by radical prostatectomy, radiation therapy, hormone therapy, and other treatment methods thus, the effect of each therapy on sexual function is summarized in the next section.
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Can Regular Prostate Biopsy Cause Erectile Dysfunction
If your doctor asks you to get multiple prostate biopsies in a defined time period, what will be the risk of developing temporary or permanent erectile dysfunction? A study published in the Journal of Urology, reported the findings in 231 males with prostate cancer and on active surveillance for more than 10 years. All of them had 10-12 core prostate biopsy at least once and were also advised for biopsy every year. Participants were asked to complete SHIM and I-PSS questionnaires.
The results indicated that SHIM scores significantly declined over the years based on the number of biopsies done, for example the decline in the SHIM scores of men who had the biopsies thrice or more was much worse than those who had 2 or less biopsies. Men who never faced erectile dysfunction before the prostate biopsy had their SHIM scores much lower when they undergo 3 or more biopsies in comparison with those who faced erectile dysfunction before having the biopsy.
If you are one of those men who are advised to get prostate biopsy, or more than one biopsies over time then be prepared to face erectile dysfunction on temporary basis. Keep the word temporary in mind, as the risk of experiencing erectile dysfunction increases with the increase in the number of prostate biopsies you are going to have. However, researchers also argue that other factors may also contribute for example:
Can Prostatitis Cause Permanent Erectile Dysfunction
In most cases prostatitis is reversible through antibiotic treatment or it can self-resolve. While discomfort and pain may take several weeks to disperse, erections should return to normal.
If prostatitis has been an ongoing condition without treatment, it is more likely the effect of inflammation to the surrounding this tissue.
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Nerve Damage From Chemotherapy
Some chemo drugs like cisplatin, vincristine, paclitaxel, bortezomib, and thalidomide can damage parts of the nervous system, usually the small nerves of the hands and feet. These drugs have not been found to directly injure the nerve bundles that allow erection. But some people have concerns because the drugs are known to affect nerve tissue, and there are many nerves involved in sexual function.
Can Prostatitis Affect Your Sex Life
Problems affecting this small gland can affect your sex life. For example, BPH and even prostate cancer treatment such as radiation therapy can contribute to sexual problems. So, what about this disease then?
Prostatitis has a significant impact on a mans health and quality of life. The disease can affect the urinary tract, but also your sexual performance.
A growing body of evidence confirms that prostatitis can cause erectile dysfunction , a common sexual problem where a man cannot achieve or maintain an erection for pleasurable intercourse.
Below you can learn more about prostatitis erectile dysfunction.
Effects Of Bph On Sexual Function
Lower urinary tract symptoms are common in aging individuals with BPH, the primary cause of LUTS in men over 50. The presence of histological BPH at autopsy is approximately 8% in men ranging in age from 31 to 40 years, 50% in those ranging in age from 51 to 60 years, 70% in those ranging in age from 61 to 70 years, and 90% in those ranging in age from 81 to 90 years . LUTS range from nocturia, urinary frequency, and urgency to a decreased and intermittent stream with incomplete bladder emptying and commonly result in a decreased quality of life.
Findings from epidemiological, pathophysiological, and clinical studies indicate that many of these men also suffer from declining sexual function, especially those undergoing treatment for their BPH-related urinary symptoms. Although urinary symptoms and quality of life may improve with BPH therapy, the resulting effects on sexual function vary according to medical, surgical, and minimally invasive approaches and have not been consistently reported.
The incidence of both BPH and sexual dysfunction increases with aging, which suggests the possibility of an association of the two diseases. Similarly, in a study of 1216 patients in Korea, Yong et al reported that the score for sexual function decreased with severity of LUTS and aging of patients .
Treating Erectile Dysfunction With Shockwave Therapy
For over four decades, shockwave therapy has been used to treat patients with heart problems, kidney stones, fractures, and joint inflammation. Recently, researchers found that it could help men improve their sex life. Since this discovery, it has become one of the most preferred treatments for ED.
Shockwave therapy uses low-energy frequencies from acoustic waves to trigger a process known as neovascularization in the targeted parts of the body. This will help improve blood flow to the area, which is a critical factor in erectile function. Most of the physical conditions that cause ED typically form plaques that block blood flow to the penile arteries. The therapy combines its repairing and regenerative effects first to remove the plaque and then stimulate a re-growth process of new and healthy blood vessels.
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What Can I Do Rehabilitation And Aids
Studies suggest that starting a program to promote erections about six weeks after surgery can help some men recover sexual function. Different methods are available, depending on your particular case, your level of motivation and the judgment of your surgeon. These penile rehabilitation programs focus on increasing blood flow to the area to encourage healing and help men have regular erections that are hard enough for penetration. Having two to three erections a week, even if there is no sexual activity, helps keep the tissues in the penis healthy.
There are different options to treat ED, and they may or may not be part of a rehabilitation program:
- Oral medication: sildenafil/Viagara®, tadalafil/Cialis® or vardenafil/Levitra MUSE
- Vacuum erection devices
- Penile self-injection with a prostaglandin: alprostadil/Caverjet/Edex
Talk to your provider in Roswell Parks Genitourinary Center about the options available to you.