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With the quick advancements in radiation as well as imaging innovations given that the development of IMRT in the very early 2000s, erectile dysfunction has turned into one of the last major adverse effects of males that undertake radiation to cure their prostate cancer cells. Below, Medical Oncologist Mark Scholz, MD, reviews the sexual adverse effects of radiation as well as steps that guys can require to try as well as alleviate these side effects.
0:26 What are the sexual side effects of radical treatment with radiation? (" radical," suggesting that the radiation is administered to the entire prostate gland.).
2:09 What is the correct dosage and timing of drugs like Cialis?
4:29 What is the timeline for impotence after radiation?
5:39 Is there anything people can do prior to radiation treatment to decrease the likelihood of having erectile dysfunction?
7:10 Why do the side effects of surgical procedure occur right away, while erectile dysfunction from radiation can happen a year or more after treatment?
8:41 Can focal therapy aid reduce sex-related side effects from prostate cancer cells therapy?
9:46 You have discussed making use of injection treatment after surgical treatment as an attempt to have routine erections as a kind of upkeep to avoid penile degeneration; coincides real for radiation?
10:58 When would certainly an individual start shot treatment to try and also stop penile degeneration?
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The problem is that the doctor (surgeon) may not be forthcoming with information if you don’t ask very specific questions. You need to know all of the possibilities before even asking the questions.
Thanks for all your videos it helps a lot I had surgery I say was good for me no matter the cost it took a part of me and it took some time for me to get it however I got thru it had a ipp implant not to long ago every body is different please every male take your time if it’s okay me I did not have time 85 percent of my prostate was filled with cancer make sure it is what’s good for you god bless pcri
Thanks for this content. My treatment ADT(12 months)+Radiation+Brachytherapy – Biggest regret is that no one mentioned one word about atrophy. That is unfortunate and could have been managed very easily. Still have sexual function but…. Any Urologists reading this – talk about this with your patients and take action.
Great information as always. 5 mg daily works well for both BPH symptoms and ED. Radiation does appear to have a slight edge over surgery for prostate cancer as far as sexual side effects.
Thank you very much for this video! There is always a hope!
Awesome video this is what I needed.
nice video. very informative!
Good information. Thank you!
My problem is, that my doctor has removed my prostate and had to remove one set of the nerves and I’ve had no erection in 3 years, what is my best option
I’m in the same boat. However, I just listen to the other video on Erectile Dysfunction after Surgery. It was very useful!
@Jerry Egge what all have you tried
I asked my oncologist for some suggestions (a Dr at the Mayo Clinic). I was surprised that she flatly told me to talk with my surgeon. No help. I haven’t done anything to address this problem. I just because contentment two months ago. That was a big milestone. Now that I’m not dealing with that issue, my concern has has been on my erectile function. The literature says it can take up top 18 months. I’ve assuming my testosterone level is very low because I’m on a Mediterranean diet. I’m sure that doesn’t help. Anyways, that’s were I’m at. Thanks for asking.
Hey Alex thanks for your dedication and efforts with PCRI. You and Dr. Scholtz make a great team!
Good information, thanks a lot.
Want to say that even short term ADT can have profound effects. After 4 months of Orgovyx I was impotent and suicidal on the recovery. I will never be the same physically or psychologically. You might want to address the effects of not ejaculating or having pre-emissions on a man’s psyche. It’s just casually mentioned but the quality of arousal and orgasm is greatly diminished.
The doctor is not be truthful and clear as possible to your questions. If you notice his answers to her questions aren’t really telling us anything. Why not ask the doctor what’s causing ED? Answer surely isn’t old age. Possibly blood not getting to the penis. What could cause that? Possibly cholesterol in your arteries that restricting blood flow. Maybe also Cardiovascular Disease, Testosterone decline, Nitrous oxide levels, lack of exercise maybe. Getting hormone treatment such as giving a man estrogen treatment to lessen his risk of cancer thereby making him more feminine and reducing his testosterone levels surely is not going to help him ever cure ED. We need honest leadership.
You’re not asking the right questions, nor is he giving any absolute answers. Middle of the road at best.
Tadalafil 2.5 mg po daily works fine for many as well.
Another great video
I believe it is worth taking Cialis when radiotherapy is taking place as a kind of prophylactic to assist the nerves and blood flow maintaining functionality.
I’ve tried basically all the pills and pumps for 3 years and they have done nothing for me, and I also had my prostate removed and 1 set of nerves too, but I recently had my urologist to prescribe (TRY-MIX) injection shots, 💉 I hate needles, but it is worth every shot. My erections are very hard and it lasts for about 3 hours of erections, I hope this helps you and your partner. I was reluctant at first, because of how much I hate the needles. It is worth the money too, I paid 115 dollars for 25 shots, and I’m totally sold on this. God bless.
My situation is exactly the same. It’s been 14 months for me now and no signs of any erectile function yet. I haven’t tired anything yet. I’m going to try the shots.
How old are you and id it spread?
The pills not only did not work well, they made me feel bad. Pump didn’t work. The needle injection is the only thing that worked.
BUT… I had hormone treatment which wiped my libido away.
How long were you on Lupron (or similar)? I’m on second 4-month shot and want to stop, if possible. Hot flashes disrupt sleep every night and libido is way way down. Finished 45 radiation treatments a few weeks ago. I believe my urologist wants me to get at least one more shot for a total of 12mos on it
@Greg Matzinger My hormone treatment (lupron) was for 18 months. As Dr. Sholz says, each man is different and maybe you only need the 12 mos.
I did get hot flashes out of nowhere throughout the hormone treatment period. Always when I was awake, so I found them just a little nuisance.
I had 31 radiation targeted treatments with a new hospital and new doctor, who was phenomenal. The hospital and doctor I had the prostatectomy wanted their standard care was going to be a blanket radiation. NOPE. Much success in treatment. You got this.
Thank you for the info and the good vibes!
I have undergone HT and RT and there are two issues for me:
1. zero testosterone
2. zero libido and erectile function.
No 1 concerns me most (my wife and I are both mid 70s).
How long should I wait after conclusion of HT to consider testosterone treatment?
Does Viagra and Cialis exasperate reoccurrence of PC?