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NY Times posting on sex after PCa
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Prostate Cancer
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sfigato
Regular Member
Joined : Dec 2010
Posts : 149
Posted 9/21/2011 1:43 AM (GMT 0)
Interesting read:
well.blogs.nytimes.com/2011/09/20/predicting-sexual-recovery-after-prostate-cancer/
Going for brachy
Regular Member
Joined : Apr 2011
Posts : 263
Posted 9/21/2011 1:55 AM (GMT 0)
If you have prostate cancer, you must be prepared to live with ED no matter what treatment option you choose. Some of us may be luckily. Others, unfortunately, not so lucky. The most important thing is to beat the cancer and die of something else at ripe old age.
mspt98
Regular Member
Joined : Dec 2008
Posts : 458
Posted 9/21/2011 3:41 AM (GMT 0)
This is true for sure, any treatment has it's risks, that's just the way it is
English Alf
Veteran Member
Joined : Oct 2009
Posts : 2237
Posted 9/21/2011 6:52 AM (GMT 0)
I was diagnosed and treated in Holland.
I was told to expect to have ED, after surgery but that if I was lucky pills would help.
As it turns out I didn't have ED after surgery. I ecven had a rather uncomfortable partial erection while the cath was still in.
Things are a bit slower now, but I am now also a year on from having had SRT.
I was also interested in the style of the comments in readers' replies to the NYT article. Very agressive and argumentative and many seemed to be full of inaccuracies, misunderstandings and errors. Not at all the same way of discussing the issue as you find here at HW.
I have no regrets about
choosing to get treatment.
Diagnosed at 48 just gave me too many years for things to go wrong. Then...
The post-op pathology showed the PCa had moved into the seminal vesicles, then my post op PSA took just a few months to rise from 0.1 to 0.4.
That told me that I was one of the guys who didn't seem to have the mild, slow-growing, it-won't-kill-you varirty of PCa.
Im now 51 and yes the PCa could come back and kill me as early as wehn I'm 60, but without treatment I reckon it could have killed me by 55 or sooner.
It can be like that - I have recently heard about
a guy I knew a while ago in the UK who has just died of PCa just three years after diagnosis aged 62 - RIP Ron
Alf
davidg
Veteran Member
Joined : Feb 2011
Posts : 4093
Posted 9/22/2011 7:42 AM (GMT 0)
some of those comments in the NYT blog are ridiculous.
When i went to see my surgeon they made me fill out that same survey. Being only 40 at the time I scored the maximum result as I should have.
I was told early on that the skill of the doctor in sparing the nerves was critical. I was told that age, degree of cancer and sexual function prior to surgery were the most important factors ( I also add luck ).
So I picked a good surgeon, I was only 40, my PSA quite low, and had no issues with sex prior to surgery. I didn't have an issue regaining sexual function with pills and even without.
What's weird is the quality of orgasms. Prior to surgery they were basically all the same. Now they go from better than before to almost a big waste of time. I can't figure out why. How can the sensation be great one day and mediocre a few days later.
Aaron Lynn
New Member
Joined : Oct 2011
Posts : 2
Posted 10/15/2011 1:23 PM (GMT 0)
Interesting to read this post & information.
(link deleted by moderator - 142. New members are not allowed to post links without consulting with the administrator or moderators).
Post Edited By Moderator (142) : 10/15/2011 9:46:14 AM (GMT-6)
Snowbound
Regular Member
Joined : Jun 2011
Posts : 224
Posted 10/15/2011 2:56 PM (GMT 0)
My motto is "Better ED than dead"
Worried Guy
Veteran Member
Joined : Jul 2009
Posts : 3801
Posted 10/16/2011 9:44 AM (GMT 0)
Isn't this a strong case for getting screen and identifying PCa early?
I was 56 with a PSA of 23 when I had surgery.
If my doc had ordered my first PSA test when I was 52 (during my 50 year supposedly complete physical) my age and PSA would have been lower. Maybe I wouldn't be sitting here contemplating an implant.
"However, the researchers were able to determine which variables are most important for predicting a man’s erectile function after treatment. .......
Among surgical patients, a man’s age and his P.S.A. score, which measures prostate specific antigen, and whether he had nerve-sparing surgery also helped predict his chances of resuming a normal sex life.
For men undergoing radiation treatment, those who had not also undergone hormone therapy were more likely to regain erectile function two years after treatment. Among men who had brachytherapy, a younger age and lower body weight helped predict a better recovery compared with men who were older or obese.
Jeff
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