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I'm tring to decide whate would be the best procedure for treating my prostate cancer and still have a sex life
Saturday, November 21, 2009
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prostate cancer
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1 reply
- By BerkshireBear
- Posted September 23, 2009 at 8:32 pm
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The first thing to know is that no matter which treatment you have you will lose most of the ability to ejaculate. The prostate creates the seminal fluid which carries the sperm outside; and when the prostate is gone ejaculation pretty much ceases. Maintaining a sex life after PCa is a hope and a few of us accomplish it, for a while anyway. To continue a sex life there needs to be as little damage as possible to the nerve bundles and the vascular structures which power the erections. In Brachytherapy a careful doctor can place the seeds to minimize effects on the vascular bundles; in IGRT radiation there is too much spill-over outside the prostate, so the vascular bundles are often damaged. This damage takes up to two years to complete, so you can come out of therapy doing pretty well, but find that the ability fades. With the robotic surgery, in the hands of a very experienced surgeon it is sometimes possible to spare the nerves and much of the vascular network. The physical removal, however is likely to leave you with a shorter penis, normally about an inch is lost. Having said all that, it very much depends on what the stage and aggressiveness of your cancer is, and the competence of your team. Even though we may ejaculate only some seminal fluid, or nothing at all, many men report more intense and longer orgasms than before treatment. One thing is clear, you will want to do everything in your power to maintain your capacity, before, during, and after treatment. That means having sex or masturbating daily, and often means going on the daily low-dose Cialis to maintain vascular health.
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