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Erectile Dysfunction After Prostate Cancer Treatment: Dealing With It

Read our guide on how to deal with erectile dysfunction after prostate cancer treatment. Learn about effective treatments and find out how to manage this condition.

Erectile Dysfunction After Prostate Cancer Treatment

Erectile dysfunction (ED) is a common side effect for men who have been treated for prostate cancer. While there are many potential causes of ED, the treatments for prostate cancer itself can damage the nerves and blood vessels that are needed for an erection.

There are a number of treatments that can help improve or resolve ED, including:

  • Oral medications: These can be used to improve blood flow to the penis and help with nerve damage.
  • Vacuum devices: This involves placing a tube over the penis and using a pump to create an erection. The erection is then maintained by placing a ring around the base of the penis.
  • Injections: Alprostadil is a medication that can be injected into the penis to improve blood flow and cause an erection.
  • Surgery: In some cases, surgery may be needed to repair damage to the blood vessels or nerves.

If you are having trouble with ED, talk to your doctor about the best treatment option for you. There are many effective treatments available and your doctor can help you find the one that is right for you.

A discussion on the different ways you and your partner can deal with erectile dysfunction after being treated for prostate cancer.

Video presented by Stacy Elliott, MD, Clinical Professor, Departments of Psychiatry and Urologic Sciences, University of British Columbia.

00:26 – How do PDE5 Inhibitor Pills (like Viagra) work?

00:59 – Will pills work for me?

01:46 – What about injections?

02:01 – Are the injections painful?

02:51 – For the video on understanding penile injection, visit youtube.com/watch?v=RB-s4…

03:03 – How do Vacu Erection Devices work?

03:35 – which option is right for me?

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Video transcription:

There’s various methods of helping men attain erections, the very first one has to do with pills or oral medications. They’re called a very fancy name called phosphodiesterase five inhibitors or pde5 inhibitors, and they include things like viagra, levitra and cialis how those pills work is quite critical to their success. So there’s a neurotransmitter that’s released when you have a sexual thought and when that sexual thought, transmits down your spinal cord and out your nerve endings that releases this neurotransmitter called nitric oxide and that that neurotransmitter relaxes all the smooth muscles in the penis and gives you an erection so, depending on how intact your nerves are, will depend how much nitric oxide is released. The pills viagra levitra in cialis. They depend on that nitric oxide to enhance the erection or amplify the signal for erection, so they only work when you’re sexually aroused and that the pathway down is complete so initially, especially after a radical prostatectomy where the nerves might be damaged. Those pills may not work very well, but over time, when there’s some nerve regrowth, they may start to work better. So it’s very important to always challenge yourself with the pde5 inhibitors at six months, a year 18 months to see whether or not they could start working for you. The other ways to get an erection are not through oral medication, but through a medication that you can inject directly into the penis, so that bypasses all those nerve signals and directly put some neurotransmitter into the smooth muscles of penis to relax them and to create an erection. That sounds pretty easy, but a lot of men don’t necessarily want to put a very fine needle into the penis. But it is a very simple thing to do and it doesn’t hurt if it’s done properly and you get an erection about five to ten minutes and we want it to last thirty to sixty minutes. The danger is, is, if you put too much of that neurotransmitter you’re going to have a prolonged erection, and we don’t want that to happen. So it’s very important how we treat how we educate you on how to do the injection. We give you test doses to do at home, so you slowly build up to get the right dose so you’re not having any trouble with prolonged erection and the type of medication we use and will instruct you that the doctor, the nurse instructors you what type of medication, the dosing schedule and the technique and we have resources available for that too. The third way that we can try to enhance an erection is not through any medication but through a mechanical method. So the way we do, that is that we put a vacu device on that, creates a vacu and draws blood. Both arterial and venous, like the red and the blue blood, draws it in and fills up the penis so that you have an erection, then there’s a band, that’s placed at the base to hold that blood in and you can be sexual with that, so the vacu device is actually really good because lots of couples enjoy it. It’s easy to use it’s easy to carry around on trips and it’s not a medication, so the selection of which option you want whether it’s oral medication injection vacu device depends on lots of things, your preference, the costs of it, of course, there’s certain differences. For example, an injection will give you a full erection through your tubes that are outside your body and inside your body or as the vacu device will just fill out the tube outside your body. So it tends to swivel on its face a little bit again as I said, that pills will only work if you have those pathways that are open and that you’re sexually aroused the risk of having a prolonged erection, really isn’t there with the pills, but it is more so with the injection and the vacu device you can take it traveling it’s, but it’s a cumbersome thing. You have to typically use the vacu device, create an erection before you come to bed, or else she interrupts your sexual play and that isn’t great for some people. But everybody has their own way and everything’s totally acceptable.

What users commented:

Thanks for sharing!

A good woman gets me up

Over time does make a difference ,
If the nerves growing on the prostate are surgically removed and left there when the prostate is taken away ,
Separated so ta speak without cutting them out with the prostate

You have a better chance of still getting an erection without medication

You just turn into a dry blower like me ,