Medical Treatments for Prostate Cancer

There are many different medical treatments for prostate cancer that involve the clinical care of a healthcare professional. These treatments include expectant therapy, surgery, radiation therapy, hormone therapy, and chemotherapy. Expectant therapy is to carefully observe and monitor the prostate cancer. Because prostate cancer cells often spread very slowly, many older men who have the disease may not need more extensive treatment. However, expectant therapy usually includes routine physician examinations, including digital rectal exams and PSA tests. The different types of surgery for prostate cancer are radical prostatectomy - an open-surgery procedure in which the entire prostate gland and surrounding tissue are removed. Transurethral resection of the prostate (TURP) - surgery to remove part of the prostate gland that surrounds the urethra. Cryosurgery - this procedure involves killing the cancer cells by freezing them with a small metal tool placed in the tumor. Side effects of prostate cancer surgery include incontinence and impotence. Incontinence is the inability to control urine and may result in dribbling of urine, especially immediately after surgery. Normal control usually returns within weeks or months after surgery. Impotence is the inability to achieve an erection. For a month, or so, after surgery, most men are not able to get an erection. Eventually, approximately 40 to 60 percent of men will be able to get an erection sufficient for sexual intercourse, but without ejaculation of semen, since removal of the prostate gland prevents that process.

Radiation therapy uses high energy rays to kill or shrink cancer cells, and to decrease their ability to divide. Radiation is often used to treat prostate cancer that is still confined to the prostate gland, or has spread only to nearby tissue. If the disease is advanced, radiation may be used to reduce the size of the tumor and to provide relief from symptoms. Possible side effects of radiation for prostate cancer may include diarrhea, with or without blood in the stool, and colitis, problems associated with urination, a degree of impotence (inability to get an erection), which may occur within two years of radiation therapy.

The goal of hormone therapy is to lower the level of male hormones in the body, particularly testosterone. Hormone therapy does not cure the cancer, and is often used to treat persons whose cancer has spread or recurred after treatment. Produced mainly in the testicles, testosterone causes prostate cancer cells to grow. Thus, reduced testosterone levels can make the prostate cancer shrink and become less active. Most studies show that hormone therapy works better if it is started early. Chemotherapy is the use of powerful, anti-cancer medications to kill cancer cells.. Hospitalization may be needed to monitor treatment and chemotherapy's side effects. Common side effects of chemotherapy include: nausea and vomiting, hair loss, anemia, reduced ability of blood to clot, mouth sores, increased likelihood of developing infections, fatigue. Most side effects disappear once treatment is stopped.

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Sexual health recovery after prostatectomy, external radiation, or
is expectedly common after prostatectomy, radiation, or. brachytherapy. However, information regarding the preva-. lence of erection-assisting device or

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I/we are wondering if it is possible to have an erection after robotic surgery? . After prostatectomy, orgasms should return, but there will be no

MD Consult: Factors predicting recovery of erections after radical
Factors predicting recovery of erections after radical prostatectomy. - Rabbani F - J Urol - 01-DEC-2000; 164(6): 1929-34 (From NIH/NLM MEDLINE)

Nerve Graft After Prostatectomy Restores Sexual Function
"Many men lose their ability to have an erection after a prostatectomy because critical cavernous nerves are partially or completely severed during the

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After nerve sparing radical prostatectomy, whether or not you regain it is very valuable to use injection therapy to aid erections soon after surgery to

The Palpable Prostate: ED After Prostatectomy - Part 2. Rehabilitation
ED After Prostatectomy - Part 1. Introduction (previous) By achieving erections as soon as possible after catheter removal (within 6-8 weeks),

QUALITY OF LIFE AFFECTING TREATMENT DECISIONS FOR PROSTATE CANCER
Most men experience ED early after prostatectomy. Erections are typically poor in the first few months after prostatectomy and recover variably thereafter,

New Patient Packet - Recovery of Erections After Radical Prostatectomy
After a radical prostatectomy, men usually have no erections for 3 to 6 months because of surgical trauma (manipulation and stretching of the nerves,

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Pseudo erections after radical prostatectomy? Cancer: Prostate.

Radical prostatectomy
Surgeons have developed a technique to try to prevent erection difficulties after the operation. This is called a nerve sparing prostatectomy.

The Journal of Urology : FACTORS PREDICTING RECOVERY OF ERECTIONS
19 Despite its limitations, our study expands our understanding of erection recovery after radical prostatectomy by documenting the significant independent

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Radical prostatectomy is surgery that attempts to cure prostate cancer. .. Your ability to have an erection after surgery will be related to your age,

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Nerve Graft During Prostatectomy May Save Erectile Function medically unassisted erection adequate for intercourse, a year to 28 months after surgery.

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Up to 80% of men experience erection problems after a prostatectomy. 4 The nerves that control a man's ability to have an erection lie next to the prostate

Erectile Dysfunction | Prostate Cancer Information | UPMC Cancer
During the first three to 12 months after radical prostatectomy, most men will not be able to get a spontaneous erection and will need to use medications or

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After prostatectomy, most men experience dry orgasms in which there is no . the return of nocturnal erections after nerve-sparing radical prostatectomy

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9. Can erection ÁœrehabilitationÁ« be applied to improve erection recovery rates? A relatively new strategy in clinical management after radical prostatectomy

Cornell Sexual Medicine Program - Erectile Dysfunction - Prostatectomy
There is a strong body of opinion that suggests that men with poor erections after radical prostatectomy should be treated with medications to induce

Alexander Foundation for Womens Health
After prostatectomy, half of all men turn to Viagra or similar drugs to combat back into his sex life, and provide the most natural-looking erection.


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