Thursday, April 18, 2024

How Soon Can You Take Viagra After Prostate Surgery

Must read

Sexual Dysfunction After Prostate Surgery Is More Common Than Previously Reported Says Hutchinson Center Study

Which is Better – Surgery vs. Radiation for Prostate Cancer?

Media briefing: A media briefing will be held at 1 p.m. PST Tuesday, Jan. 18 at the Centerâs Metropolitan Park East Campus, 1730 Minor Ave., between Olive and Howell streets. A Media Relations representative will greet you in the lobby and escort you to the briefing room. Free parking is available in an underground garage entrance off Minor Ave. A map of the site is available upon request.

B-roll available: A related video news release, including sound bites and b-roll of Dr. Janet Stanford and a Seattle-area prostate-cancer survivor, will be available via satellite feed twice on Tuesday, Jan. 18: first between 6 and 6:30 a.m. PST and again between 11 and 11:30 a.m. PST .

SEATTLE â Sexual dysfunction among men who undergo prostatectomy appears more prevalent than previously reported, according to a multi-center study led by an investigator from the Fred Hutchinson Cancer Research Center in Seattle.

The results will appear in the Jan. 19 issue of the Journal of the American Medical Association.

Funded by the National Cancer Institute, the Prostate Cancer Outcomes Study is the first comprehensive, population-based assessment of sexual function and urinary continence among men treated with radical prostatectomy for early stage, localized prostate cancer. It is also the first study to examine the sexual and urinary side effects of such surgery in minority populations.

Age and education also had an impact on the frequency of impotence.

# # #

Erectile Dysfunction Following Radical Prostatectomy

Assuming the management of erectile dysfunction requires expert diagnosis and treatment.

Diagnosis includes sexual function history, general medical history, psychosocial history, medication history, physical examination, and appropriate laboratory testing.

Psychological treatment is an important adjunct to managing erectile dysfunction. If our diagnosis suggests a psychological association with your erectile dysfunction, we may recommend that you pursue counseling with a qualified psychologist available through the Clinic.For instance, there may be relationship problems that negatively affect sexual functioning with your partner. Referrals can be made to the Johns Hopkins noted Sexual Behaviors Consultation Unit.

What Can I Expect Before And After Robotic Prostatectomy

If after consulting with Dr. Engel, becoming educated on the topic of prostate cancer, potentially seeking other opinions, and being presented all options, a patient opts for robotic prostatectomy, he will then be taken extensively through what to expect. Dr. Engel currently performs robotic surgery exclusively at George Washington University Hospital, and a date and time will be scheduled for surgery there. The patient will generally be urged to see his internist for a pre-operative physical, although this can also be accomplished at the hospital itself. Tests to rule out spread of cancer such as a bone scan and CT scan, looking for spread to bones and lymph nodes, may be performed in higher risk cases. The patient will be given detailed instructions regarding a bowel preparation regimen and the patient must follow this strictly. The purpose of the bowel prep is not only to create more space in the abdomen, but also for safety in the very unlikely event that there is an inadvertent injury to the intestine or rectum during the surgery. If this occurs, a bowel prep will likely keep this from being a life threatening problem.

Donât Miss: Does Enlarged Prostate Cause Constipation

Don’t Miss: Tomotherapy Side Effects Prostate Cancer

What Are The Penile Rehabilitation Protocols

Many protocols for penile rehabilitation have been developed. Dr. Clavijo can discuss options in detail with you in clinic. Some popular options include the daily use of a medication like tadalafil with the use a vacuum erection device. Penile injections are also used by some patients who want to start having penetrative intercourse soon after their surgery. Regardless of what is chosen our clinic can help guide you through your recovery period.

When Is Nerve Preservation Not Done

Does Viagra Work After Prostate Surgery

The term nerve preservation or nerve sparing during radical prostatectomy refers to preservation of this second set of nerves . When these nerves are not preserved it is not because they have been accidentally damaged, but because either one or part of one has been removed to ensure that the cancerous cells are fully removed. This is known as cancer control.

You can see how the location of the prostate cancer on the left side of the prostate specimen below allowed full nerve preservation on this side whereas the tumour on the right side of the prostate was invading the NVB, which meant that NVB removal on this side together with all of the tissue surrounding it was necessary for good cancer control.

Also Check: How Do You Treat Chronic Prostatitis

Counselling And Sex Therapy

Talking to your partner about your erection difficulties can help. Or it may help to talk to a close friend if you are not in a relationship.

Counsellors or therapists can help if youre worried about anything to do with your sex life and sexuality. You can be referred by your GP to a counsellor or therapist within the NHS. You might need to go on a waiting list to see them.

Talk to your GP to find out what is available in your area. Your local hospital or your local Erectile Dysfunction Clinic might have this service.

What Is Penile Rehabilitation

First off, lets take a look at what happens with mens erectile function after the surgical removal of the prostate gland. During prostatectomy, even when assisted by robotic arms, the surgical procedures may interfere with the function of the erectile nerves since they are connected to the prostate gland. These nerves are in charge of maintaining the male organ into an erect state when aroused.

Depending on the location of the prostate tumor, surgeons may have no other choice but to cut erectile nerves in order to remove all cancer cells. However, other cases have the tumor closer to lymph nodes or seminal vesicles than these erectile nerves, which prevents any major impact on the sexual performance of men.

The better the state of these erectile nerves remains after prostatectomy, the better the odds are for a full erectile function recovery. Even if they are spared, these nerves might not work properly in the months following the surgical procedures. They need time for healing in order to return to normal. Until men regain their erectile function, they are guided by their doctorts through a plan for penile rehabilitation.

Don’t Miss: Can Prostate Cancer Cause Back Pain

Is It Okay To Use Cialis After Prostate Surgery

February 2, 2022 by Ross Davis

Note that according to the Prostate Cancer Foundation, 75% of the men who use these pills after prostatectomy were able to successfully achieve erections .

Note,, however, that doctor will not always prescribe erectile dysfunction medication. This is particularly true of men with heart conditions since taking ED medication can put them at risk of severe complications.

Page Contents

What Is The Problem

Tom Had a Quick Recovery after Robotic Prostate Surgery at NWH

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. 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.

Recommended Reading: When Should Guys Start Getting Prostate Exams

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.

What Current Options Exist To Treat Erectile Dysfunction After Radical Prostatectomy

Options include pharmacologic and nonpharmacologic interventions. Pharmacotherapies include the oral PDE-5 inhibitors , intraurethral suppositories , and intracavernous injections . Non-pharmacologic therapies, which do not rely on the biochemical reactivity of the erectile tissue, include vacuum constriction devices and penile implants .

Men who have undergone nerve-sparing technique should be offered therapies that are not expected to interfere with the potential recovery of spontaneous, natural erectile function. In this light, penile prosthesis surgery would not be considered an option in this select group, at least in the initial 2 year post-operative period, until it becomes evident in some individuals that such recovery is unlikely.

You May Like: How To Check Prostate Health

Why Is There Increasing Concern At This Time Regarding Erectile Dysfunction Issues Following Radical Prostatectomy

The reality of the recovery process after radical prostatectomy today is that erectile function recovery lags behind functional recovery in other areas. Patients are understandably concerned about this issue and, following months of erectile dysfunction, become skeptical of reassurances that their potency will return.

What Do We Know About Potency After A Robitic Prostatectomy

How To Return To An Active Sex Life After Prostate Cancer Treatment ...

The return of potency is dependent on several factors:

  • Previous sexual function before surgery. Unfortunately, robotic prostatectomy will at best return you to your level of sexual function pre-surgery. It will not improve upon what you already had before surgery.
  • Age. Theyounger you are, the better your chances. Men under 65 have abetter chance of regaining potency, or erectile function than those over 65.
  • How many nerves are spared. As discussed previously, ideally both nerves can be spared and thiswill give you the highest chance of regain erections. However,even men with no nerve sparing can regain erectile function.

Recommended Reading: What Is It Like To Get A Prostate Exam

Why Does It Take So Long To Recover Erections After The Very Best Surgery

A number of explanations have been proposed for this phenomenon of delayed recovery, including mechanically induced nerve stretching that may occur during prostate retraction, thermal damage to nerve tissue caused by electrocoagulative cautery during surgical dissection, injury to nerve tissue amid attempts to control surgical bleeding, and local inflammatory effects associated with surgical trauma.

How To Improve Your Sex Life After Prostatectomy

When this kind of erection treatment is not enough, patients opt for vacuum pumps or penile implants. Injections for erectile dysfunction after prostate surgery can also help.

Studies indicate that penile injection can be one of the efficient treatment options. Limited trials show that medications like papaverine, Bimix, and Trimix can improve sexual confidence and self-esteem. Including satisfaction and erectile function.

Physical therapy for ED can be another option. Targeted penile rehabilitation exercises can engage and strengthen the ischiocavernosus muscle.

This muscle is capable of maintaining penile rigidity. But, neither of these treatments is completely effective. And they can have side effects. Talk to a doctor to choose the best option.

Experts can also suggest lifestyle changes as a key component of every erectile dysfunction treatment. Its important to eat healthy after prostate removal and supply the body with the necessary nutrients.

Sticking to low-fat dairy, lean protein, and plant-based consumables can benefit the body in the long haul. Aphrodisiac foods like oysters, dark chocolate, and maca root powder can help.

You May Like: Aneros Helix Trident Prostate Massager

Penile Rehabilitation How It Works

The concept of penile rehabilitation stems from the theory that if penile blood flow and erections can be encouraged soon after surgery, the recovery of erections will be faster and more complete. Even so, it can take up to 3 years for recovery to be complete. The initial research into penile rehabilitation was with injection therapy and found that men who regularly used it had a much higher rate of potency 6 months after surgery than those that did not: 67% versus 20%.

Getting Erectile Dysfunction After Prostate Surgery

Radiation vs. Surgery for Prostate Cancer | Ask a Prostate Expert, Mark Scholz, MD

Men can indeed experience erectile dysfunction after undergoing prostate surgery. However, it should be noted that for many patients who have prostate conditions, they may already have some form of ED before surgery .

Experts have explained that recovery from this condition will be slow. After the surgery, you will also experience ED immediately. Treating erectile dysfunction after prostate surgery using medications such as Cialis may not work immediately.

You should understand that treatment is possible, but it will take a few months for ED medication to take effect. Studies suggest that it may take as long as 6 to 9 months.

It is important to understand the above-mentioned causes of erectile dysfunction after prostate surgery. The body will need time to recover and adjust to new conditions.

Recommended Reading: How Fast Prostate Cancer Spread

Treatment Options For Ed After Prostate Surgery

There are several treatment options for ED after radical prostatectomy, from medications and devices to further surgical options and even penile implants.

Each treatment option carries with it its own benefits and drawbacks, and different treatments may offer different results from one individual to another.

Its best to consult with a medical professional before beginning a series of treatments, to find the best treatment for you.

Here are some options that may be recommended.

Habits And Lifestyle Changes

There are changes you can make to your lifestyle to promote blood flow and improve your erectile health after prostate surgery:

  • Change eating habits to maintain healthy weight and nutrition
  • Exercise regularly to improve cardiovascular health
  • Quit smoking and using nicotine products
  • Limit alcohol consumption.

Dr. David Samadiis the Director of Mens Health and Urologic Oncology at St. Francis Hospital in Long Island. Hes a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy. Dr. Samadi is a medical contributor to NewsMax TV and is also the author of The Ultimate MANual, Dr. Samadis Guide to Mens Health and Wellness, available online both on and Barnes & Noble. Visit Dr. Samadis websites at robotic oncolo gy and prostate cancer 911.

Don’t Miss: Can A Man Have Intercourse After Prostate Cancer

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.

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.

Sex And Erection Problems After Treatment For Prostate Cancer

February 2019 â RedPronto

Prostate cancer treatments can affect your sex life. Some treatments can damage the nerves that you need to get an erection. Other treatments can affect the levels of hormones needed to get and maintain an erection.

Even if you can’t get a full erection, you can still have a sex life. There are several treatments that may help you but not everyone chooses to have treatment. Treatments might include:

  • drug treatments such as tablets and creams

Sex therapy and counselling can also help. Speak to your doctor or specialist nurse if this is something you think might help.

Recommended Reading: How To Train Your Bladder After Prostate Surgery

Once A Day Vs On Demand Dosing

Take note that once a day dosing of Cialis or any PDE-5 inhibitor for that matter is a regimen for long term treatment. Remember that this method may not be suitable for everyone.

Its effects also lasted longer, which meant that it was more suitable for daily dosing. In other words, the intake of this medication is separate from engaging in sexual activity. You can take it daily as a treatment for ED without planning to have intercourse.

In 2008 the US Food and Drug Administration approved the use of Cialis or tadalafil for daily use . As such, it was viewed almost like it was more of a supplement that can be taken regularly.

However, the dosage was reduced if you were planning to take this medication routinely. The FDA authorized the 2.5 mg and 5 mg doses for daily intake routines.

In this view, erectile dysfunction was no longer a situational problem for men. This paradigm shift meant that ED is now viewed as a chronic condition in men.

How Long Does Erectile Dysfunction Last After Prostate Surgery

Is erectile dysfunction a possibility after prostate surgery?

Many patients are concerned about it and prefer other prostate cancer treatments.

However, they should know that most erectile issues are temporary and improve after a while.

These patients usually recover from this problem after a few months.

In this article, we cover sexual function after prostate cancer surgery thoroughly, tell you how long ED can last, and how to cope with erectile problems.

You May Like: How To Stimulate A Man’s Prostate

More articles

Popular Articles