Should I Use A Penis Pump To Help Improve Penile Health Before Prostate Surgery
A penis pump use is like exercise for the penis. Just like exercising the body is good for overall general health, regular use of a penis pump is good preparation for prostate surgery. Erections occur when an immense amount of blood flows into the penis and engorges it. When the penis remains flaccid for long periods of time, penile tissue is deprived of oxygen-rich blood.
This leads to a loss of flexibility and scar tissue formation in the corpora cavernosa . The resultant inability of the penis to expand leads to erectile dysfunction Simply put, erectile function is a use-it-or-lose-it deal. Using a penis pump before prostate removal can improve penis health.
How Will My Urinary Catheter Feel
The end of your penis where the catheter comes out may not feel comfortable. Make sure to be gentle when washing the end of your penis. You may have been given leg straps. Use the leg straps to help keep your catheter from moving too much. This will lessen your discomfort. If the tip of your penis gets sore, try applying some water-based lubricant, such as plain K-Y Jelly, to keep the catheter from sticking to the tip of your penis. If this does not work, call your doctor or health care team. Your doctor or health care team will be able to give you other helpful suggestions. Do not use any other lotion, cream, or ointment on the tip of your penis before talking to your doctor or health care team.
Treatment Of Rising Psa
If PSA levels are rising slowly or by a small amount, a person may not need treatment. A doctor usually considers an individuals overall health, medical history, and age when giving advice on treatment.
Doctors often use active surveillance if PSA levels are rising. Active surveillance is a series of regular tests and health checks, with treatment only if necessary. Prostate cancer often progresses very slowly, so it may be many years before a person needs treatment.
If a person has had a prostatectomy, a doctor may also recommend radiation therapy, which kills cancer cells using high-energy particles.
Radiation therapy is not suitable for everyone who has had a prostatectomy. If a person had radiation therapy before surgery, they cannot usually have this treatment again. Having radiation therapy a second time can cause side effects.
Doctors may also use hormone therapy to shrink a persons tumors. This can make other treatments such as radiation therapy more effective.
It is not always possible to prevent PSA levels from rising. The best way to safeguard health after having a prostatectomy is by undergoing regular medical checks.
- stopping smoking or using tobacco products
- exercising regularly
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What To Expect After Prostate Removal
Prostate removal is an effective treatment option for prostate cancer. A radical prostatectomy, which removes the entire prostate gland as well as some surrounding tissue, takes a few hours to complete.
Here are three things you can expect after your prostate is removed.
Prostate removal is major surgery, so expect some soreness and pain. Youll receive IV pain medications at first, and your doctor may prescribe you pain medication to use at home. You will also have a urinary catheter in place for about the first week, which you might find uncomfortable.
Most patients are up and moving the day of surgery and go home the following day. Although you will need to rest and gradually resume physical activity, urologist Mina Fam, M.D., emphasizes the importance of movement. I want patients up and walking the same day of surgery because any kind of cancer surgery has a risk for blood clotting, Dr. Fam says. I encourage patients to keep walking during their recovery.
Expect it to take about four weeks to start feeling back to your normal self if your surgery was done robotically and up to six weeks with a traditional open approach.
Treatment options include:
Work with your doctor to find a treatment that is right for you.
Another change to expect in your sex life is that, because the seminal vesicles are removed during surgery, you wont ejaculate semen during orgasm.
Bleeding After Prostatectomy: Endovascular Management
Anna Maria Ierardi1, Maria Laura Jannone1, Pietro Maria Brambillasca1, Stefania Zannoni1, Giovanni Damiani2, Umberto G. Rossi3, Antonio Maria Granata4, Mario Petrillo1, Gianpaolo Carrafiello1
1Diagnostic and Interventional Radiology Department, San Paolo Hospital, University of Milan 3Department of Diagnostic Imaging, Interventional Radiology Unit, E.O. Galliera Hospital 4Department of Urology, ASST Fatebene Fratelli-Sacco, Milan , Italy
Contributions: Conception and design: AM Ierardi, G Carrafiello Administrative support: None Provision of study materials or patients: AM Ierardi, ML Jannone Collection and assembly of data: ML Jannone, PM Brambillasca, M Petrillo, AM Granata, AM Ierardi Data analysis and interpretation: UG Rossi, G Damiani, AM Ierardi Manuscript writing: All authors Final approval of manuscript: All authors.
Background: To evaluate role of interventional radiology in post-surgical haemorrhagic complications of prostatectomy.
Methods: A retrospective study was performed. From April 2015 to January 2018, 10 patients referred to IR Department for haemorrhagic complications post radical prostatectomy . All patients were successfully treated with superselective trans-arterial embolization. We evaluated technical and clinical success and post procedural complications.
The endovascular management of significant haemorrhage after prostatectomy is safe and long-term effective, with no major ischaemic events associated to embolization.
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The Prostate Gland And Prostate Cancer
The prostate gland is a male reproductive organ that sits around the urethra, the outlet tube for urine, just below the bladder. The glands surface is usually smooth and regular. The prostate is about the size of a walnut.
The prostate gland releases a clear fluid into the urethra that represents up to a third of the semen during ejaculation. One of the functions of the fluid is to carry the sperm and help sperm movement.
The prostate also helps the drive of semen during ejaculation.
How Will Treatment Affect My Ability To Orgasm Or My Fertility
Surgery for prostate cancer can affect both your orgasms and your ability to have children. The prostate gland normally adds a fluid called semen to sperm to nourish and protect it. Youll no longer make semen after surgery, which means your orgasms will be dry. Radiation therapy can also reduce the amount of fluid you ejaculate. Without semen, you wont be able to father children. If youre concerned about fertility, you can bank your sperm before your surgery.
After surgery, orgasms will also feel different. You wont have that normal buildup of sensation before you have an orgasm. Youll still be able to feel pleasure, though.
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Why Might I Need Turp
TURP is most often done to relieve symptoms caused by an enlarged prostate.This is often due to benign prostate hyperplasia . BPH is not cancer.It is a common part of aging. When the prostate gland is enlarged, it canpress against the urethra and interfere with or block the passage of urineout of the body.
Sometimes a TURP is done to treat symptoms only, not to cure the disease.For example, if youre unable to urinate because of prostate cancer, butsurgery to remove the prostate isnt an option for you, you may need aTURP.
There may be other reasons for your healthcare provider to recommend aTURP.
How Do The Results Impact Penile Tissue
Fibrotic changes lead to shortening and decrease in girth of the penis following surgery. Venous leakage from damaged tissues is also thought to play a role in the development of erectile dysfunction after prostate surgery. Penile rehabilitation with a penis pump helps maintain penile length and girth. It also helps with nerve recovery and overall tissue health for quicker recovery.
The authors of a 2016 clinical study determined that the average loss of penile length after radical prostatectomy was 1.87 cm and 1.82 cm respectively. They further determined that men who use a vacuum erection device that no significant changes in penile length were observed in men using a vacuum erection device after surgery.
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How To Urinate After Surgery
This article was co-authored by Robert Dhir, MD. Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhirs expertise includes minimally-invasive treatments for enlarged prostate , kidney stone disease, surgical management of urological cancers, and mens health . His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.There are 7 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. In this case, 90% of readers who voted found the article helpful, earning it our reader-approved status. This article has been viewed 111,729 times.
Surgical Methods For Performing A Prostatectomy
Traditionally, prostatectomies are carried out by open surgery, in which the surgeon makes a single, long incision in the skin and then removes the prostate gland and any other required surrounding tissues. However, due to technological advancements, it has become possible to carry out a prostatectomy using less invasive methods such as laparoscopic surgery , or its subtype, robotic prostatectomy.
Good to know: In cases where only part of the prostate is to be removed, it is possible to perform the procedure without cutting into the surrounding skin at all. For example, a transurethral resection of the prostate can be performed by inserting a thin tube called a resectoscope into the bladder through the urethra to remove the prostate tissue.
The three main surgical methods of prostatectomy are:
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Erection Loss After Prostate Cancer Treatment Is Common But Not Inevitable
Posted June 1, 2016
The myth is that prostate cancer treatment destroys mens erections. The truth is more complicated.
Men facing treatment for this disease should prepare themselves emotionally for permanent erectile dysfunction that cant be treated with erection medication. But after prostate cancer treatment, ED is not inevitable. And if you develop it, you can still enjoy a fulfilling sex lifeincluding satisfying orgasms.
All Treatments Are Equally Effective
Most prostate cancer is diagnosed early, before it has spread outside the gland. With early detection, the prognosis is excellent. The American Cancer Society estimates 220,000 new diagnoses in 2015 and 27,500 deaths, a mortality rate of 12.5 percent. For comparison, breast cancer232,000 diagnoses in 2015, and 40,000 deaths, a higher mortality rate of 17 percent.
Early-stage prostate cancer can be treated in three ways: surgical removal of the gland , high-dose radiation from an external source , or insertion of a radioactive pellet .
ED Risk After Treatment
Researchers with the National Cancer Institute followed 1,187 men for five years901 had surgery, 286 had external beam. Sexual function declined in both groups, but ED was more prevalent in those who had surgery, 79 percent after prostatectomy vs. 64 percent after radiation.
Risk Factors for ED After Treatment
However, these figures are averages. Depending on the man, post-treatment ED rates ranged from a high of 92 percent to a low of just 30 percent.
What Is A Normal Psa Reading Post Prostatectomy
A few months after a prostatectomy, the PSA level should be undetectable or very low, explains the American Cancer Society. The first PSA test should be taken no earlier than six to eight weeks after surgery because the protein takes time to clear out of the blood.
The presence of any PSA after surgery is often a cause of concern for patients because rising PSA levels can mean prostate cancer recurrence, according to the American Cancer Society. Cancer is not always the cause, however, and PSA levels that are very low, steady and not rising can be produced by normal, leftover prostate tissue, says the Prostate Cancer Foundation.
When the protein is detectable after surgery, doctors frequently measure PSA levels a few times to determine if they are increasing, according to the Prostate Cancer Foundation. Cancer recurrence is considered to be indicated by a PSA level that is greater than 0.2 nanogram per milliliter that has risen at least twice in an interval of two or more weeks. When this occurs, doctors often proceed to salvage radiation therapy. This procedure is frequently performed with external beam radiation and aims to destroy the remaining prostate cancer cells.
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What Is A Prostatectomy
A prostatectomy is a major procedure, carried out by a urological surgeon , in which all or part of the prostate gland is removed in men. It can be ordered by your doctor to treat prostate cancer and as part of treating some of the other types of cancer that can affect the pelvic region.
A prostatectomy can often cure prostate cancer if it has not spread outside the prostate gland. Prostatectomies are also performed in the treatment of non-cancerous conditions affecting the prostate, such as:
- Benign prostatic hyperplasia , when the gland becomes enlarged and causes urinary problems
- Prostatitis, in which it becomes inflamed
There are several different types of prostatectomy. The prostate surgery option used depends on why the procedure is being performed:
- A radical prostatectomy will be carried out as a treatment for malignant cancer. The surgeon will remove the entire prostate gland as well as the vas deferens, the duct which conveys sperm from the testicals to the urethra, and the seminal vesicles, the glands which hold the liquid which mixes with sperm to make semen.
- A simple prostatectomy, in which only part of the prostate is removed, will be carried out to treat a more benign condition, such as BPH.
Removal of the prostate may result in complications, including impotence, which in most cases is temporary. Several different types of treatment exist to help correct erectile dysfunction after the operation. This is called penile rehabilitation therapy.
Tell Your Man That When He Listens To You It Turns You On
Guys are often criticized for not wanting to talk much.
Dont be too surprised if your man becomes impatient with listening to you. In many respects, it is simply how men are wired. Often, your guy would prefer to be on the move, seeking out opportunities, challenges, and solving problems.
It is a lot like the days when men tracked and hunted game and fought for survival.
Women tend to talk through their problems, seeking prospective solutions. Men tend to keep them bottled up, internalizing the issue.
A guy has his cave that he retreats to. A gal is more inclusive and prefers to talk about the relationship openly and constructively.
Most men tend to have a pretty short attention span. They like to solve problems. This is how we are programmed.
If your husband is listening to you discuss an issue you are experiencing, he is wired to find a way to conquer the problem. After your husband has offered solutions to your problem he feels empowered and is ready to move on to the next challenge or activity in has in his mind.
But here is the rub. What most men dont understand is that if he would slow down and simply listen to you, you will feel safe and supported and loved. So tell him how when he listens to you, it makes you feel a certain way.
Time and time again, I have been told that often the best sex women have had with their husband was after he patiently listened to what she had to say and offered support.
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Promoting Urination After Surgery
Wife Dealing With Erectile Dysfunction After Prostate Cancer Treatment
I’m having serious issues dealing with my husbands erectile dysfunction since his radiation and hormone therapy for prostate cancer 2 years ago. he is almost 10 yrs older than me and we had healthy sex life prior to diagnosis and treatment ! after treatment theres a significant size difference and problems obtaining and maintaining erection Even at full capacity penetration doesnt occur but he is able to be satisfied in 2 or less fast minutes Now i hate it and try to avoid it at all costs! i still love him but avoid touching or any kind of affection since he then thinks it’s “time” As much as i miss sex terribly i would rather not do it at all and it is causing a major rift in our almost 40 year marriage We are both depressed and irritable I am not good at pretending so he is well aware that i hate it now We are now like roommates What should we do?
0 likes, 12 replies
Posted 3 years ago
I hate to say this but you have to discuss it together, or see a counsellor. If you don’t then nothing will change?
I have prostate cancer and have had a course of 4 months hormone treatment, followed by Proton Therapy.
Posted 3 years ago
are you able to get erections or have sex? lupron has killed me as a man. i miss my junk and going at my wife for hours. i really have conteplated suicide if this wont change. this isnt a life for a man no muscle mass anymore or chiseled face.
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