Prostate cancer treatment and quality of life in the “real world”

The idea that most men will recover meaningful erectile and sexual function after treatment for prostate cancer has long been disputed by many in the patient community. We now seem to have some better data supporting the patient perspective. … READ MORE …

Restore – a clinical trial for MsM with prostate cancer

The Restore study is a new, NIH/NCI-funded, clinical trial designed to explore what will help gay, bisexual, and other men who have sex with men (collectively, MsM) to recover urinary, sexual, and erectile function after treatment for prostate cancer. … READ MORE …

Can stem cell therapy “cure” ED?

Data from eight patients in a small clinical trial have suggested that stem-cell therapy may be able to restore erectile function in men treated for prostate cancer by radical prostatectomy. … READ MORE …

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 …

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 …

Recovery of erectile/sexual function after surgical treatment for prostate cancer

A new review article in the journal Sexual Medicine Reviews has addressed current knowledge on the topic of penile rehabilitation after surgery for localized prostate cancer. … READ MORE …

Sexual rehabilitation after surgical treatment for localized prostate cancer: nine formal recommendations

Two recent articles by Salonia et al. (from the Fourth International Consultation for Sexual Medicine or ICSM 2015) have provided us with a series of nine recommendations to clinicians regarding sexual rehabilitation after radical prostatectomy for localized prostate cancer. … READ MORE …

Vessel-sparing IMRT spares erectile function

While either nerve-sparing surgery or radiation can cause erectile dysfunction, the probability for that for any given patient is always worse after surgery. The recent ProtecT randomized clinical trial removed any doubt of that, if there ever really was any. … READ MORE …

Urinary and sexual healing improved by waiting to start salvage radiation

Salvage radiation adds to the side effects of surgery and may halt the progress made towards healing. Healing takes time. On the other hand, we have learned that adjuvant or early salvage radiation has better oncological outcomes than waiting, the earlier the better (see this link). … READ MORE …

Sexual function no worse when fewer external beam radiation treatments used

The HYPRO trial was designed to detect whether hypofractionation (fewer radiation treatments) was inferior to conventional fractionation (over about 8 weeks of treatment). … 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 …

ED drugs and risk for prostate cancer recurrence? … NOT!

Back in February 2015 a group of German researchers published a study suggesting that there was a small but significantly increased risk of biochemical recurrence after prostate cancer treatment among men using drugs like sildenafil (Viagra) to recover/stimulate erectile function. … READ MORE …

Expectation management and sexual/erectile outcomes after radical prostatectomy

A newly published paper in BJU International has helped to make clear that many surgical patients have unrealistic expectations about their recovery of erectile and sexual function after radical prostatectomy. … READ MORE …

Erectile function after three different types of treatment for localized prostate cancer

Another new paper has indicated that erectile function is better preserved among men treated by brachytherapy (radioactive seed implantation) than among men treated by radical prostatectomy or by external beam radiation therapy. … READ MORE …