Ask Your Doctor About Solutions
Patients should not be shy about discussing intimacy issues with their doctor. He or she may be able to prescribe medications to help. Certain medicationssuch as sildenafil , tadalafil or vardenafil are typically tried first. But these drugs may not help men achieve an erection if the nerves responsible are not healthy. In fact, the medications only work for a small percentage of men in the first few months after surgery, according to a 2017 study published in the International Journal of Sexual Health.
Besides oral medications for erectile dysfunction, there are other options available to men with ED after prostate cancer treatment, says Dr. Shelfo. These include penile injection therapy, which involves injecting a small amount of medication directly into the base of the penis. That has helped many men achieve erections. Another option is an intraurethral suppository of medication, an external vacuum erection device, or surgery may be performed to implant a penile prosthesis.
While regaining erectile function is not possible for all men treated for prostate cancer, it is important to remember that an erection is just one aspect of a satisfying sex life. Intimacy is another major component, one that may become more important as sexual relationships become more difficult after cancer treatment.
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What About Other Treatments I Hear About
When you have cancer you might hear about other ways to treat the cancer or treat your symptoms. These may not always be standard medical treatments. These treatments may be vitamins, herbs, special diets, and other things. You may wonder about these treatments.
Some of these are known to help, but many have not been tested. Some have been shown not to help. A few have even been found to be harmful. Talk to your doctor about anything youre thinking about using, whether its a vitamin, a diet, or anything else.
Lower Back Pain Associated With Prostate Cancer
Your lower back is referred to as the lumbar region of the spinal column. It has a great deal of hefty training to do: The lumbar spine carries the weight of your entire upper body, plus biomechanical stresses that accompany motion. Lower Back Pain Associated With Prostate Cancer
The lumbar spine has five vertebrae foundations. Each vertebra has a big disc cushiony gel wrapped in a difficult membrane on its front side that works as a shock absorber. Each vertebra likewise has two cartilage-lined facet joints on its backside. Working together, discs as well as element joints enable the back to safely flex and turn.
Your lower back also includes tendons, tendons, as well as muscles. Tendons are solid bands that hold the vertebrae and also discs together. Tendons connect muscular tissues to the vertebrae. These structures help restrict extreme movement that might damage the spinal cord.
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Prostatitis And Lower Back Pain
Why prostatitis will cause back pain? Doctor Ming experts pointed out that the reason is because when the male friends ejaculation, the prostate contraction will appear back pain or pain, thus affecting the hardness of the penis, a direct impact on sexual life , So prostatitis must pay attention to treatment.
Back pain in the sex life which is more common, the symptoms can also cause severe male sexual desire diminished, and even fear of sexual intercourse, asexual satisfaction. A long time there will be a cold. This will affect the coupleâs normal i life and feelings. In addition, prostatitis is not timely treatment will be pain pain spread to other parts of the body, which is also a common phenomenon of the waist.
Prostatitis is caused by back pain, the discomfort is caused by the patient will work in life is very unhappy, male patients will often feel irritable, anxious, so to timely treatment of prostatitis, and prostatitis The pain is not only back pain, as well as patients with abdominal pain, thigh pain, anal pain, these are only physical pain, the most important thing is to affect sexual function.
Chances Of Developing Metastatic Prostate Cancer
About 50% of men diagnosed with local prostate cancer will get metastatic cancer during their lifetime. Finding cancer early and treating it can lower that rate.
A small percentage of men arenât diagnosed with prostate cancer until it has become metastatic. Doctors can find out if itâs metastatic cancer when they take a small sample of the tissue and study the cells.
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Urinating Frequently At Night
As we get older, its common to have to get up during the night to use the washroom. This is callednocturia and can be completely normal.
However, if you notice a sudden change in how frequently you have to get up during the night, consult your doctor.
For example, if you used to sleep through the night but now have to get up at least once every night, it could just be a sign of aging or it could be something more.
If you have to get up to urinatemore than twice a night, or experience changes in your usual pattern, a prostate rectal exam could be helpful. Get a check-up right away. This could be an indication of an enlarged prostate or prostate cancer.
Pain 1 Of 3 In A Cluster Of Symptoms Affecting Men After Prostate Cancer
Pain, fatigue, and depression are 1 cluster of symptoms afflicting 1 in 13 survivors of prostate cancer, according to a recent study.
One in 13 survivors of prostate cancer are afflicted with pain, fatigue, and depression as one cluster of symptoms, according to a recent analysis.
This cluster of these 3 specific symptoms is not unknown in cancer, and taken individually, they are also known in prostate cancer. The authors noted that up to 75% of prostate cancer survivors may experience cancer-related fatigue. Urethral pain is reported by 16% following radiation therapy. And on average, 18% of survivors have depression after treatment.
However, the authors sought to explore the specific association of this cluster with prostate cancer. Besides wanting to know the prevalence of this sequelae in prostate cancer, the researchers also aimed to understand more about the factors shared by these survivors.
While the incidence of prostate cancer is rising, so is survival, and so there are more men living with this cancer than any other malignancy, the authors noted.
The study took place in Ireland, where population-based cancer registries exist in both Northern Ireland and the Republic of Ireland. Participants came from both areas. A total of 6559 survivors were sent questionnaires 3348 men participated . They had been diagnosed with prostate cancer 2-18 years previously.
In addition, there was a strong association between the cluster and HRQoL .
Reference
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Signs And Symptoms Of Prostate Cancer
Men describe symptoms they experienced before diagnosis.
Men with early prostate cancer may not have any symptoms, as these usually only occur when the cancer gets big enough to put pressure on the urethra . In men over 50, the prostate gland can get larger due to a non-cancerous condition known as benign prostatic hyperplasia .
The symptoms of both benign prostatic hyperplasia and prostate cancer are very similar and it is often difficult to tell the difference between the two without further tests.
Over three-quarters of the men we interviewed consulted their GPs because of signs or symptoms, although a few men were diagnosed as the result of routine PSA tests . Before the diagnosis was made many of the men we talked with reported difficulty in passing urine, urgency, and passing urine more frequently than usual, particularly at night.Some men gave detailed descriptions of their symptoms. In some cases symptoms were quite mild while in other cases symptoms were much more severe.
Anatomy And Metastasis Of Prostate Cancer
The pudendal nerve innervates the few striated muscles within the prostatic capsule. The parasympathetic nerves emanate from S2 to S4 and form the pelvic nerve. The sympathetic preganglionic nerves, which reside in the thoracolumbar region between T6 and L2, provide the major neural input to the prostate and reach the pelvis through the hypogastric nerve .
Anatomic structures and major veins of the male pelvis.
FIGURE 1.
Anatomic structures and major veins of the male pelvis.
Prostate cancer has been shown to metastasize by following the venous drainage system through the lower paravertebral plexus, or Batson’s plexus.4,9 Although hematogenous spread of other malignancies is most commonly to the lungs and liver, 90 percent of prostatic metastases involve the spine, with the lumbar spine affected three times more often than the cervical spine. Prostate cancer also spreads to the lungs in about 50 percent of patients with metastatic disease, and to the liver in about 25 percent of those with metastases.4
Epidural metastases are the result of contiguous spread from lesions of the calvaria to the meninges. Because of the protective layer of the dura mater, subdural and intra-parenchymal metastases from prostate cancer are rare .
FIGURE 2.
FIGURE 2.
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Back Pain And Prostate Cancer
Hi, I have posted on here before and those that have see I am really worried I have P.C. but k owe my psa is only 1.
my concerns revolve around having prostate issues 4 years ago and diagnosed with enlarged Prostate.
Whilst I know that a psa that low should provide however has a cousin who wasn’t diagnosed until it was in his spine.
Since I was diagnosed with enlarged prostate I have had two very bad episodes of central back pain, first I’ve in Oct 2018 then again sept 2019, so bad I was given 2 spinal CT scans 1 for each episode.
Neither of which showed anything amiss.
i have recently had a really bad episode of hip and leg pain beyond any sort of pain I can remember, whilst that has seemingly improved after some physio the hip pain remains but my leg appears to have lost some strength and marginally muscle mass.
Along side this I’ve tte last few weeks I have noticed pain in my lower back and today again between my shoulders.
to add to my PC worries my GP ran full blood tests and one in particular serum ferritin was identified as high 607 normal is lower than 400. I paired serum ferritin high with P.C. on the I internet and have found a study that showed this is seen in PC and the higher the number the more agreesuve it may be.
my question is, if my fears are real would it really take 1.5 years almost since my first episode fir it to progress?
in tte meantime I am awaiting an mri but due to having a Pacemaker is taking a little sorting.
Any input welcome
Is Back And Hip Pain A Symptom Of Prostate Cancer
The American Society of Clinical Oncology estimates 174,650 cases of prostate cancer this year alone. As the most commonly occurring type of cancer in menmostly those over the age of 50.
That isnt to say that you cant get it at a younger age, but the risk of getting this type of cancer is lower. However, studies have pointed to the growing incidence of prostate cancer among younger males as well. This is owing to environmental factors and early screenings.
The prostate is a small gland that produces seminal fluid for semen. Prostate cancer occurs when a group of cells in a mans prostate gland grows faster than others. These cells can often spread and affect normal tissue in the adjoining area.
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How Is Mscc Treated
If you are diagnosed with MSCC, you should start treatment as soon as possible ideally within 24 hours. Your doctor will explain the different treatment options to help you decide whats right for you. They will consider your wishes as far as possible. They will also support you and your family after treatment to help you recover from MSCC.
There are two main treatments available you may be offered one of these, or your doctor may suggest having both.
- Radiotherapy. This aims to shrink the cancer cells that are pressing on your spinal cord. It can also help to relieve the pain. High-energy X-ray beams are directed at the affected area from outside the body. This is known as external beam radiotherapy. You may have one or more treatment sessions your medical team will discuss this with you. Read more about radiotherapy for advanced prostate cancer.
- Surgery. Surgery is sometimes used to treat MSCC. Your doctor will discuss this with you if its suitable for you. It usually aims to reduce the pressure on your spinal cord and makes your spine more stable. Surgery is sometimes done at a specialist spinal unit. You might be given radiotherapy once youve recovered from surgery, to shrink any areas of cancer that might be left in the spine.
Why Does Prostate Cancer Cause Hip Pelvis And Back Pain
Some men with prostate cancer dont realize the existence of the disease for many years until it gets worse and show some discomfort symptoms. The reason is due to this kind of cancer is more likely to grow very slowly, though in some cases it can grow rapidly and aggressively, too. Does it cause pain in the back, pelvis, and hip if so, when and why?
Understanding the symptoms of prostate cancer in general
As men get older, many of them experience a condition called prostate enlargement. Though it is a common condition, but the good news it is not cancerous tumor. But this enlargement can generate some similar symptoms to what happen in prostate cancer see more this issue in this section!
In general, the very early stage of prostate cancer doesnt lead to any signs and symptoms at all. Typically, the symptoms appear when the cancerous tumor has become large enough to cause pressure to the urethra .
*Picture credit to the Cancer Research UK
The pressure that hits the urethra can cause some problems in the way of how you pass the urine. Both cancerous and non-cancerous enlargement of prostate can press on the urethra, blocking the flow of urine. See in here for in-depth information about the symptoms of prostate cancer.
If the cancer does cause the symptoms, some of them may include:
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What Is Metastatic Spinal Cord Compression
MSCC happens when cancer cells that have spread from the prostate grow in or near to the spine and press on the spinal cord. You might hear it called malignant spinal cord compression or spinal cord compression.
The spinal cord is a long, thin bundle of nerves and other cells. It runs from your brain down through your spine. The nerves carry messages between your brain and all parts of the body. These messages allow you to move and to feel things like heat, cold, touch or pain. They also help control body temperature and how your internal organs work.
Cancer cells pressing on the spinal cord can cause problems with how these messages are carried. This can cause a range of symptoms that can get worse if left untreated. For example, you may be less able to walk and move around.
At its worst, MSCC can cause nerve damage and even paralysis. This could mean you cant walk or use your arms or legs normally. Remember, there are treatments available and getting treatment straight away can lower the risk of this happening, or of it being permanent.
What Is Prostate Pain
Prostatodynia is the medical term for prostate pain. It may also include other sensations like prostate discomfort and is a sign of prostate problems. Pain and discomfort may be seen in all three of the main conditions affecting the prostate gland prostatitis, benign prostatic hyperplasia and prostate cancer. The pain may vary in severity and nature radiating to surrounding structures and extending to the lower back or even the tip of the penis.
At times, prostate pain may involve a large area of the lower abdomen or the entire pelvis. It is not uncommon for no pain to be present, especially in mild BPH and chronic prostatitis, with discomfort or pain only being reported during acute exacerbation and a secondary prostate gland infection.
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Prostate Cancer Can Cause Pain In Many Areas And Not Just Because Of Bone Spread But Also Due To Other Features Of The Disease
It can feel different ways depending on the nature of the cause.
Curable early stage prostate cancer usually does not cause pain, says Sean Cavanaugh, MD, Chief of Radiation Oncology, Cancer Treatment Centers of America at Southeastern Regional Medical Center.
That is the most important message do not use pain as a primary screening mechanism for prostate cancer.
Most pain associated with prostate cancer is from bone metastases in stage IV disease.
For example, men with bone metastases to their spine may have pain in their back.
Prostate cancer can spread to the ribs , pelvis and femur .
Even shoulder and arm pain are possible when a metastatic tumor is pressing against the spine.
Bone metastases occur in approximately 80% of patients with advanced prostate cancer, says the Journal of Clinical Oncology.
When prostate cancer spreads to other parts of the body, it almost always goes first to the bones.
Bone pain from prostate cancer can feel like a dull ache or feel like a toothache in the bones, or you may feel a sharper sensation.
Can worsen with movement
May come and go or be constant
How Is Low Back Pain Diagnosed
Your physician will likely start by asking for a full case history as well as conducting a comprehensive health examination to determine where youre really feeling the pain. A physical exam can additionally identify if discomfort is impacting your variety of motion.
Your physician may also check your reflexes and your feedbacks to particular sensations. This establishes if your low back pain is affecting your nerves.
Unless you have worrying or debilitating signs or neurologic loss, your doctor will most likely monitor your condition for a couple of weeks before sending you for screening. This is due to the fact that most low back pain resolves utilizing easy self-care therapies.
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