Patients will often ask me if there is anything they can do to improve erectile function after radical prostatectomy.
In general, I tell them that pre-operative function is one of the most important predictors of post-operative function. The old saying, "use it or lose it" actually does apply.
More recently, there is mounting evidence that prophylactic PDE5 inhibitors (Viagra, Levitra, Cialis, etc.) even in small doses every other day may help increase blood flow to the penile region and hasten recovery of erectile function.
I would encourage you to ask your surgeon if they or their colleagues have a program of "rehabiliation" for erectile function following surgery.View Thread
Radical prostate surgery 7 years ago. Now 67. Have used the injection with success. Best overall is the...
Posted by An_250584
Radical prostate surgery 7 years ago. Now 67. Have used the injection with success. Best overall is the manual vacuum pump that I currently use satisfactorily four or five times per week. It is great.View Thread
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| ReplyReplyReport This| Share this:Vacuum PumpRadical prostate surgery 7 years ago. Now 67. Have used the injection with success. Best overall is the...
There is a great new product on the market aimed at improving colon health by correcting the anorectal angle and making elimination easier and more effective. I have this product and think it's amazing: called Squatty Potty. Google it! It is changing lives!View Thread
The costs of treating and surviving prostate cancer can be staggering, and insurance doesn't cover...
Posted by An_247873
The costs of treating and surviving prostate cancer can be staggering, and insurance doesn't cover everything. Using social fundraising sites like Carefunder.org can help keep contact with friends and family, connect with a community that cares and raise funds to offset the costs of treatment and recovery that aren't covered.View Thread
Here are a few tips to get the most out of your prostate cancer surgical or radiation oncology consultation:
1. Have extra copies of all your records (biopsy reports, office notes, etdc.)
2. Have copies of any films (bone scans, MRI, CT) -- note -- you should have not only a copy of the report but also the images on either a CD or hard copy. Many times a surgeon or rad onc may want to review the films w/ a radiologist, so its wise to burn a few extra copy of the CD.
3. Bring a family member. Its always helpful to have an extra set of ears to listen and also help ask questions.
4. Don't be afraid to ask a surgeon or rad onc about his/her experience and comfort with a certain type of treatment. Are they more comfortable doing open or robotic surgery, etc?
5. Write down pertinent questions so you won't forget to ask.
6. Don't be scared to tell your doctor that you are getting second opinions. We often expect this and are not offended. I actually find it helpful for patients to get a different perspective since every doctor approaches things slightly differently.
For those men preparing for radical prostatectomy (either robotic or open) I would highly encourage you to talk to your surgeon about steps you can take to make your sugical outcomes better.
A new diagnosis of cancer often leaves patients feeling helpless. Once you have done the appropriate research and discussed treatment options I have a few tips for those men who choose radical prostatectomy.
1. Attempt to "get in shape" and if you are overweight, consider losing some weight prior to surgery. I find that men who are in excellent cardiovascular health, often bounce back quicker after surgery.
2. Learn about and practice Kegel exercises. These (often simple) exercises will help the return to continence after surgery.
3. For those men who are sexually active, ask your urologist if it is appropriate to begin prophylactic treatment with ED medications just prior to and during the immediate post-operative period.
Best of luck to those preparing for and undergoing surgery.View Thread
In June, 2006 I was DX'd with PCa and formulated my own diet, opting to go the Watchful Waiting route. The diet was replete with herbs, ocean fish (wild Salmon and Tuna packed in oil), vitamin supplements, Selenium, Lycopene, Essiac Tea and plenty of vegetables - especially cruceiform (Brussel Sprouts, Cauliflower, Broccoli). 13 months after my initial Prostate Biopsy I underwent a second and the results? No cancer was found. Naturally my Urologist stated that any Prostate Biopsy was like looking for a needle in a haystack (don't they All say that?). Does anyone out there drink Essiac Tea? To combat PCa? Or merely for good health?View Thread
I have had a radical prosectomy in 2004 and have been cancer free. However, my last exam showed that the PSA...
Posted by An_216384
I have had a radical prosectomy in 2004 and have been cancer free. However, my last exam showed that the PSA had increased for .03 to .09 in one year. So far there is no evidence to a cacerous growth. Basically the reasons are unknown. I have been taking rather large doses os Folic Acid in my multivitamin. Prevention magazine ran a study that showed high doses of Folic acid can cause increased prostate cancer growth in men who have not had sugery. Nedless to say, I have stopped taking my Multivitamin untill further notice.View Thread
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| ReplyReplyReport This| Share this:tomlaneI have had a radical prosectomy in 2004 and have been cancer free. However, my last exam showed that the PSA...
Personally, I think this is a conservative approach, and since it is only for 4 months, there should be no reason not to follow his advice. Sometimes physicians like to hold back on hormone therapy and give it intermittently to slow the increase of the PSA over a period of time.View Thread
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