Focal HIFU is “sexual function sparing” in a cohort of 118 selected patients

A new paper in European Urology has suggested that men with localized prostate cancer who are treated by focal forms of high-intensity focused ultrasound (HIFU) have “a return to baseline International Index of Erectile Function — erectile and total International Index of Erectile Function scores” by 6 months after treatment which was maintained at 1 year. … READ MORE …

Some refreshing truths about erectile function post-surgery

A refreshingly honest article published this year in Translational Andrology and Urology, and reprinted in full on the Medscape web site, offers a somewhat depressing assessment of the state of the art of prevention of erectile dysfunction and/or rehabilitation of erectile function in men undergoing radical prostatectomy. … 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 …

Erectile function post-radical prostatectomy: the past 20 years

It would not be unreasonable to think, some 30+ years after Dr. Pat Walsh started to do nerve-sparing radical prostatectomies at Johns Hopkins, that there might have been a gradual — if small — improvement in the quality of erectile and sexual function post-surgery on average over time. … READ MORE …

Can a dHACM allograft really improve sexual function post-surgery?

Our attention has been brought to a recent article suggesting that use of a “dehydrated human amnion/chorion membrane” (dHACM) allograft nerve wrap around the neurovascular bundle may help with recovery of erectile function post-surgery. … 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 …

“Normal” sexual functionality after a radical prostatectomy — it’s not very likely

According to a report on the Science Daily web site today, a presentation at the ongoing European Association of Urology (EAU) meeting in Madrid, Spain, suggests that the ability to regain normal erectile and sexual function after a radical prostatectomy is actually rather worse than one might have thought. … READ MORE …

Half of long-term erectile function (EF) loss after brachytherapy (BT) is due to aging

One of the most important things we patients want to know about any treatment is what kind of potency we can expect afterwards. Urinary and rectal dysfunctions are often measured and reported by investigators, but sexual dysfunction is rarely reported or measured. … READ MORE …

Congress may block coverage for VEDs for Medicare patients

It appears as though, here in the USA, the House of Representatives has decided to block coverage of vacuum erectile devices (VEDs, sometimes known as “penis pumps”) for Medicare patients. … READ MORE …

Does treatment for prostate cancer lead to PTSD (for at least some men)?

The following two statements appear on the web site of the Mayo Clinic under the definition of post-traumatic stress disorder: … READ MORE …

Projecting urinary and sexual function after first-line treatment for prostate cancer

Data from a study conducted by a research team at Fox Chase Cancer Center here in Philadelphia may be able, in time, to help to identify when and how much various prostate cancer treatments will impact urinary and sexual functioning. … READ MORE …

Quality of life after standard therapies for localized prostate cancer

Assessment of patient quality of life (QoL) after standard forms of treatment for localized prostate cancer is difficult for many reasons — not least because there is no real agreement among members of the research community about the best ways to measure QoL or patient satisfaction after treatment. … READ MORE …

Cialis doesn’t help to maintain erectile function among radiotherapy patients

The degree to which drugs like sildenafil (Viagra) and taldalafil (Cialis) may help patient to maintain erectile function after treatment for localized prostate cancer has long been open to question. … 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 …