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PCRI’s Executive Director, Mark Scholz, MD, talks about erectile dysfunction that occurs after prostate cancer treatment. He covers the risk of side effects and practical information about how to weigh the risks and benefits of treatment. Don’t know your stage? Take the quiz: Visit http://www.prostatecancerstaging.org To learn more about prostate cancer visit http://www.pcri.org To download the free Staging Guide visit http://www.pcri.org/prostate-cancer-staging 0:26 Each treatment has a different risk of impotence. Focal treatment tends to have the least erectile side effects, radiation having an intermediate risk of side effects, and radical prostatectomy having the highest risk of impotence after treatment 1:03 The onset of erectile dysfunction varies by treatment. Radical prostatectomy causes immediate erectile dysfunction. Men typically recover over a period of time. Radiation on the other hand typically does not have an immediate effect on erectile function, but rather, erectile function after radiation will tend to worsen as time goes on. This distinction is important because the immediate erectile dysfunction after surgery can cause atrophy and scarring of the penis from a lack of use. 2:10 Erectile dysfunction can have serious psychological side effects on men. When erectile dysfunction occurs, men can lose interest in pursuing intercourse, which in turn can worsen the problem. This reality must be taken into consideration as treatment is being selected. Men still have sensation even if the erectile function is reduced. But sexual activity after treatment is different. Additionally, after any form of prostate treatment, men will have dry orgasms, which will also change the sensation of sexual activity. Many men are not informed of this fact. 4:05 Practitioners often cite favorable statistics when trying to convince men to choose one treatment over another. The reality is that most of these statistics have a different definition than one might expect. Most studies that are quoted define impotence as the inability to get an erection even when taking a drug like Viagra, also they define potency as the ability to get a “serviceable erection.” So erectile function and people’s daily lives are affected more than what the quoted statistics might suggest. You may not be told in your consultation that you will have to take Viagra-like drugs and that the quality of your erections will be reduced. 5:50 Age has a notable effect on erectile function after prostate cancer treatment. Men who are younger tend to recover better. But as men get older, they are more likely to experience worse side effects. Also, men with preexisting erectile issues will likely have much worse outcomes depending on the treatment selected. Who we are: The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any question that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors. The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs. #ProstateCancer #Prostate #MarkScholzMD
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Dr. Christian Reutter of Pelvic Rehabilitation Medicine explains erectile dysfunction
Topics discussed include:
Erectile dysfunction definition
Why it might occur
Risk factors for experiencing erectile dysfunction
Dr. T. R. Christian Reutter received his BA from The Johns Hopkins University, attended medical school at the University of Health Sciences College of Osteopathic Medicine in Kansas City Missouri, and then completed his residency in Physical Medicine and Rehabilitation at the University of Texas Health Science Center in San Antonio, Texas. He practiced for almost 17 years as a sports medicine and spine specialist in San Francisco, California before joining the Pelvic Rehabilitation Medicine team in New York.
At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day!
At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.
LEARN MORE: https://www.pelvicrehabilitation.com/
JOIN OUR COMMUNITY and get in on the discussions happening:
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✨ Twitter - https://twitter.com/PelvicRehab
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so erectile dysfunction is defined as the inability to achieve or maintain an erection it actually occurs in about 10 of healthy males and with erectile dysfunction a full urologic workup should always be done so often the muscles in the pelvic floor are too weak or too contracted to generate or inhibit blood flow and it can cause erectile dysfunction
so erectile dysfunction risk factors include decreased blood flow hypertonic pelvic floor muscles a sedentary lifestyle age and stress
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