5 Treatments for erection after prostate withdrawal
Often, late-diagnosed prostate cancer needs to be treated with prostate withdrawal, a surgery called radical prostatectomy. However, surgery is linked to subsequent erectile problems.
This can occur both due to patient problems such as age, presence of comorbidities and the condition of the erection before surgery, as well as damage to the erected nerves which can occur in the operation, mainly due to the location of the tumor. However, there are some care and treatments that help man to regain his erection. See below:
1. Sexual Rehabilitation
Sexual Rehabilitation means going back gradually to stimulate the penis in order to preserve the quality of the erectile tissue and increase the chance of regaining its erectile capacity. Getting started early makes a difference.
Rehabilitation should start before surgery. Knowing what you will face helps a lot. In addition to good guidance on what to expect after the procedure, it is best to start treatments to regain sexual power soon after the first month of surgery. The stitches have already been removed, the bladder catheter has already been removed and pain at the site has become minimal. Some centers recommend starting sexual rehab the day after the removal of the bladder catheter.
Resting the penis, stretching it in the bath and masturbating. Such simple manipulations of the genitalia should be stimulated. The man who underwent the surgery gets scalded and can fear and avoid these movements. Some face a picture of depression. Thus, the sooner they perceive the penis as a genital organ, the better. P>
Studies show that if nothing is done after radical prostatectomy, sexual inactivity and the absence of physiological erections cause penile atrophy. It shortens and becomes more fibrous.
2. Oral medication
Many men may wish to use traditional medicines, such as sildenafil, vardenafil and tadalafil. However, during the first months of the postoperative period there may be a communication difficulty between the brain and the penis. After all, such erecting nerves passing near the prostate may have been damaged in the procedure. In addition to whether this lesion can be uni or bilateral, it can also be complete or partial. When it is incomplete, the nerve has not been fully sealed, the recovery of penile-prostate communication occurs in the first six months.
If this has happened, medications may not produce a good response, as it depends on intact nerves. However just trying is that the doctor will know whether or not there was success with oral medication. If erections are hard enough for vaginal penetration, great! Otherwise, return to the office is essential for treatment adjustment. For, the goal of therapy is to provide sufficient erections for penetration.
3. Injectable therapy
When oral medications do not work, your doctor may choose to use intracavernosal injections. It means administering medications that promote erection directly into the penis. In that case, the therapy will work even without the communication of the brain with the penis, even in the face of the said complete or incomplete lesion of the erecting nerves in those initial six months. Yes, because the drug works right where it was applied.
Injectable therapy is ideal for this period, but it is very important that the doctor do a test in the office and there is training for the application to take place without surprises. Getting erections, they should be produced at least once a week.
Actually the option of intracavernosal injection treatment may not be for everyone. But beyond painless, the effectiveness of injectable therapy usually encourages men in persistence with weekly use. Obviously, no one will force the patient to adhere to a treatment that he does not want or has not adapted to.
4. Penile pump
Are there alternatives such as the so-called "penis pump"? or & quot; vacuum pump & quot ;. They really work! Not for the purpose of increasing penis size as misleading advertisements boast on the internet, but to preserve size, minimize fibrosis and penile atrophy after surgeries such as radical prostatectomy. Using a vacuum is another way to get an erection. In that case, the penis will be pulled up by the vacuum. It is recommended to use the vacuum pump gradually until you can keep it erect for 10 minutes. Daily or at least three times a week.
5. Penile prosthesis
When all other alternatives have proved ineffective or the patient does not get a good adaptation, we can talk about penile (prosthesis) implants. Two basic rules: Penile prosthesis implantation will not return physiological erections and will not produce an increase in penis size. The prosthesis will replace that erectile tissue, the accordion, with a synthetic material.
We indicate this modality for the erectile tissue considered irretrievable and that never before the first year of postoperative. The implant will ensure sufficient stiffness for vaginal penetration.
The penis can regain the size it had before surgery, but nothing more. And depending on whether the prosthesis is malleable or inflatable, the aspect of the penis will be maintained as if it were stretched (malleable) or there will be a mechanical system that, when activated (device in the scrotal pocket) will cause the change from flaccid to erect state. The penile implant has a high satisfaction rate, but needs to be well indicated by the doctor and well explained so that the patient does not build false expectations. It should be understood as the last alternative because it implies to replace the erectile tissue definitively.
Oncologists are bombarded daily with a great deal of information about new treatments and new molecular tests. In spite of this frantic race for the incorporation of new technologies, every specialist should pay attention to the necessary care at this important time in the patient's life, which is the follow-up after the end of cancer treatment.
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