Recovering Erectile Function After ProstateCancer Surgery

madman

Super Moderator

In this video, PCRI's Alex asks Dr. Mark Scholz about recovering erectile function and preventing penile atrophy after radical prostatectomy. While Dr. Scholz tends to steer patients away from surgery because of these side effects (plus incontinence), there are some interventions a man can use to try and avoid the worst effects of radical prostatectomy.


0:06 What are the side effects of radical prostatectomy?
4:23 How quickly after surgery should men begin using injections to achieve erections?
4:48 Is there a standard protocol for the number of erections a man should achieve per week to prevent atrophy?
5:01 Do urologists typically recommend these injections after surgery?
6:08 Can any physician prescribe penile injections, or must it be done by a urologist?
6:49 Should one continue taking drugs like Viagra or Cialis while doing penile injections?
7:16 Is there anything else a man can do to try and achieve a better outcome after surgery?
8:07 How long does it take for a man to recover spontaneous erections?
8:45 Can radical prostatectomy affect a man's libido?
10:06 Are penile injections painful?
 
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A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

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Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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