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Radiation Treatment for Erectile Dysfunction - The Nebraska Medical Center

'Radiation Treatment and Erectile Dysfunction - The Nebraska Medical Center'.

Radiation Treatment and Erectile Dysfunction

Erectile dysfunction (ED) is a common problem for men who have undergone radiation treatment for prostate cancer. Radiation therapy uses high-energy rays to kill cancer cells. Although radiation therapy is an effective treatment for prostate cancer, it can damage the blood vessels and nerves that are needed for an erection.

ED can occur soon after radiation therapy is completed or may not happen for several years. The risk of developing ED increases as you get older. If you have other risk factors for ED, such as diabetes or heart disease, you may be more likely to develop ED after radiation therapy.

You may be able to reduce your risk of ED by:

  • Maintaining a healthy lifestyle.
  • Exercising regularly.
  • Eating a healthy diet.
  • Quitting smoking.
  • Managing stress.

If you develop ED after radiation therapy, there are several treatment options available. These include:

  • Oral medications. These drugs can be taken before sexual activity to improve blood flow to the penis. Examples of oral medications that can be used to treat ED include sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra).
  • Injections. These drugs are injected into the penis before sexual activity. They work by increasing blood flow to the penis. Alprostadil (Caverject Impulse, Edex) is an example of a drug that can be used as an injection.
  • Urethral suppositories. These drugs are inserted into the urethra (the tube that carries urine out of the body) before sexual activity. They work by increasing blood flow to the penis. Alprostadil (Muse) is an example of a drug that can be used as a urethral suppository.
  • Vacuum devices. These devices are used to create an erection by drawing blood into the penis. A ring is then placed around the base of the penis to maintain the erection. Vacuum devices are safe, effective, and easy to use.
  • Penile implants. This is a surgical procedure that is used to treat ED. A penile implant is a device that is placed under the skin of the penis. The device can be inflated or deflated to create an erection. Penile implants are safe, effective, and easy to use.

Talk to your doctor about the best treatment option for you. With treatment, most men are able to have an erection.

Radiation treatment for cancer has several side effects. For prostate cancer, one of the common side effects is erectile dysfunction. The precision targeting used with The Nebraska Medical Center’s Calypso system may reduce that side effect. Because it targets the prostate gland so precisely, Calypso may spare other parts of the body from absorbing the radiation.

Here’s how it works: when Calypso detects transponder motion, or the tumor target becomes improperly aligned with the radiation beam, it sends out an alert. Dr. Enke says this is called the action threshold. It allows the clinician to retarget the radiation beam at any time during treatment. “We set an action threshold for the system to alert us when it detected prostate motion of three millimeters or greater. These are much tighter tolerances than normally used. We wanted to know if it was clinically practical, and we proved it was—you can incorporate these tight tolerances into daily practice.”

These tight tolerances mean doctors can target the malignancy with higher doses of radiation which is why Calypso appears to offer a better chance for a cancer cure. Dr. Enke points out that it also provides the ability to decrease the treatment margin around the prostate thereby decreasing the dose to surrounding normal structures.

For more information about prostate cancer treatment at The Nebraska Medical Center, visit nebraskamed.com/Cancer/Pro… or call 1-800-922-0000.

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Video transcription:

Can we reduce the risk of erectile dysfunction due to radiation? Any treatment that is a curative intent for prostate cancer? Has a risk of erectile dysfunction. The causes of erectile dysfunction are different for the urologic on collage exertion, doing a robotic prostatectomy compared to the radiation oncologists using radiation to destroy the tumor, but our targeted, we believe, is actually that we want to avoid is located below the location of the prostate itself, and if we can be confident that we know where that prostate gland is located through the use of continuous targeting, it allows us to use smaller margins next to this adjacent area that we refer to as the penile bulb, and that gives us a much better chance of minimizing the risk of a radiative radiation treatment. Induced erectile dysfunction.

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