Anejaculation is the norm after radiation therapy to the prostate

There is a widespread misunderstanding that radiation therapy as a treatment for localized prostate cancer will allow the patient to have or recover normal ejaculatory function after treatment. Let us be very clear that this is not usually the case at all. … READ MORE …

The management of anorgasmia after radical prostatectomy: a role for cabergoline?

A paper presented earlier this week at the annual meeting of the American Urological Association in Atlanta suggests that a drug called cabergoline may have the ability to induce the return of orgasm in men with anorgasmia (the persistent or frequent absence of orgasm after normal sexual arousal). The available data suggests that the patients included men with anorgasmia as a consequence of radical prostatectomy. … READ MORE …

Orgasmic function is not the same as sexual function: what are we really being told?

We are having a hard time with a media release issued yesterday by BJU International in relation to a study just published in that journal by Tewari et al. (Actually, we are having a hard time with the results of the study itself too.) … READ MORE …

Loss of ejaculatory ability is high after radiation therapy

Patients who have surgery as their primary treatment for prostate cancer know that after their surgery they will have lost the ability to ejaculate at orgasm — making orgasm feel very different to their prior experience. It has not been so clear that — over time — the same applies to most radiation therapy patients. … READ MORE …