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- $Unique_ID{BRK01472}
- $Pretitle{}
- $Title{What Effect Will Prostate Surgery Have On Sex Life?}
- $Subject{prostate cancer surgery sex life neoplasms genitourinary system
- surgical removal radiation therapy hormone anticancer medication medications
- therapy sexual relations radical prostatectomy potency erection neurovascular
- bundles fibrosis testosterone libido prostatic neoplasm cancers hormones
- impotent impotency erect erections}
- $Volume{B-15, J-15}
- $Log{
- Anatomy of the Male Reproductive System*0006001.scf
- Cancer of the Prostate*0007601.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
-
- What Effect Will Prostate Surgery Have On Sex Life?
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-
- QUESTION: My husband faces surgery for cancer of the prostate. We realize
- that this operation is a must, but we are also concerned about the effect it
- will have on his manhood. If he needs to have x-ray treatments after the
- surgery, will the chances of it effecting his sex life be greater? We think
- we already have made the necessary decisions, but would very much appreciate
- your discussion of this important personal matter for us.
-
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-
- ANSWER: Since prostate cancer is the second most common cancer in American
- men at present, and affects more than 100,000 men each year, it is clear that
- your concerns will be faced in many other families. Although prostate cancer
- is infrequent in men under the age of 50, it is seen in ever increasing
- numbers until it becomes the most common cancer in men over 70. The type of
- treatment chosen--surgical removal, radiation therapy, hormone or anticancer
- medication therapy--will depend upon many factors. These include the extent
- (or "stage") of the cancer when it is diagnosed, the age of the patient as
- well as other medical factors, such as other conditions or illnesses which may
- also be present. In some cases, more than one type of treatment must be used
- to deal effectively with the problem. The ability of a man to experience
- normal sexual relations after these interventions also depends in a large part
- on his abilities before the treatments. Again age and current medical and
- physical condition will play a role, as well as any medications being taken to
- treat other conditions. Following surgery (called radical prostatectomy),
- Potency depends upon the ability of the surgeon to preserve the nerves and
- blood vessels that are needed to assure erection. Potency is maintained in
- approximately 50 percent of men if the surgery can preserve these
- neurovascular bundles. In the case of radiation therapy, a process known as
- fibrosis occurs as a result of the treatment. This type of scarring can
- affect the blood vessels and so effect sexual function. Any hormone or
- medication that lowers the levels of the male hormone testosterone will result
- in lowered libido and usually a loss of potency as well. Because there are so
- many possible combinations of therapy, and factors which affect this problem,
- a good "sit down" with your physician is your best bet for obtaining the exact
- answer which may apply in your case.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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