Erectile function after SBRT

Erectile function after radiation therapy is of great interest to many men trying to decide between surgery and radiation, and to decide among the several radiation treatment options. … READ MORE …

Mental health and ADT: an objective review

As regular readers will be aware, there has been some intense debate over the past year or so about whether there is an association between treatment with androgen deprivation therapy (ADT) and risk for dementia. … READ MORE …

Is LI-ESWT an effective treatment for ED subsequent to prostate cancer therapy

On our social network yesterday, a new member asked about a form of treatment called “GAINSWave” for men with erectile dysfunction (ED) after treatment for localized prostate cancer. We had never heard of GAINSWave prior to this question. … READ MORE …

An unfortunately misleading statement in the AFP

Back in 2014, the American Cancer Society (ACS) issued a really rather thorough set of guidelines on the long-term management of survivors after initial treatment for prostate cancer. … READ MORE …

An Eastern medicine effective and safe for ED, maybe

According to data from a late-breaking abstract for a poster to be presented at the annual meeting of the American Urological Association (AUA) in San Diego in May this year, a traditional type of Eastern medicine may improve erectile function. … READ MORE …

Well — this is a sort of progress, one hopes!

According to the abstract of a newly published paper by Krouwel et al. in Urology (“the Gold Journal”), we now have formal evidence that most urology residents in at least The Netherlands feel that they receive insufficient training in the management of men with erectile dysfunction. … READ MORE …

Risk for ED at up to 12 weeks after a systematic TRUS-guided prostate biopsy

There is nothing very new about the idea that prostate biopsies can affect erectile function in some patients (although we still have very little knowledge of about exactly why this occurs). We have had clear evidence that this effect can occur since 2001. … READ MORE …

Prostate biopsies and effects on erectile function post-biopsy

There have long been suggestions that having a prostate biopsy could be associated with at least a temporary decline in erectile function. A new study in BJU International has now shed more light on this matter. … READ MORE …

Erectile function prior to prostate cancer treatment: a key to expectation management

The ability to recover good erectile function after treatment for localized prostate cancer is — rather obviously — dependent on the quality of patients’ erectile function prior to any treatment. However, good data on this latter factor is not as well documented as one might like. … READ MORE …

Delaying onset of erectile dysfunction when receiving radiation therapy

Daily treatment with sildenafil citrate (Viagra) seems to have been able to help maintain erectile function for up to 2 years among men receiving such adjuvant treatment during and after radiotherapy for localized prostate cancer. … READ MORE …

Managing common side effects of radical prostatectomy

We have already mentioned the article on genomics and biomarkers in this month’s issue of AUA News, but there are two other articles in this issue of the publication that are likely to be of interest to at least some of our regular readers. … READ MORE …

When is alprostadil topical cream coming to America … if ever?

For men with mild to moderate erectile dysfunction after treatment for prostate cancer,  and especially for those who don’t respond well to the phosphodiesterase inhibitors like sidenafil (Viagra) and taldalafil (Cialis), simple treatment options are very limited. … READ MORE …

Sexual dysfunction among prostate cancer survivors — a new review article

In a newly published article in the Journal of Sexual Medicine, Chung and Brock offer a state of art review of the various types of sexual dysfunction identified among prostate cancer survivors and the management strategies currently available for sexual rehabilitation after treatment. … READ MORE …

Sex after prostate cancer treatment — in the UK and elsewhere too

According to a story that first appeared on the BBC News web site last Friday, “Around 160,000 men in the UK have been left with little or no sex life after treatment for prostate cancer.” … READ MORE …

ADT and cognitive function — a review and pilot study

An article just published on line in the journal Urologic Oncology looks at the vexing problem of the degree to which extended periods on androgen deprivation therapy (ADT) may have significant impact on the day-to-day cognitive functioning of at least a proportion of men with progressive forms of prostate cancer. … READ MORE …