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 …

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 …

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 …

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 …

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 …