Archive for the ‘Erectile function’ Category

URO TODAY: Use of a carbon dioxide laser to assist in robot-assisted radical prostatectomy improves nerve sparing and reduces damage that can cause impotency. READ MORE>

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URO TODAY: Robot-assisted surgery for prostate cancer is now the preferred method in the US, where a study says its benefits outweigh other methods. READ MORE>

While cost remains a valid criticism to the robotic technique, some of the additional expenditure is offset by improved convalescence, fewer medical complications, and decreased morbidity.

Data with follow up approaching 10 years demonstrates equal if not superior outcomes with respect to continence, sexual and oncological factors.

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URO TODAY: Decline in quality of life after radical prostatectomy may be less in patients who got regular exercise before the treatment. READ MORE>

These findings require further study with larger samples to confirm results. If confirmed, findings suggest exercise pre-operatively may improve [life quality] outcomes after radical prostatectomy.

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URO TODAY: Eating a Mediterranean-style diet may help recovery of erectile function, a new study finds. READ MORE>

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NEW PROSTATE CANCER INFO-LINK: 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>

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URO TODAY: The stigma associated with prostate cancer and its aftermath needs much more research, a recent conference in Spain was told.

Men are reticent to discuss sexual or urinary problems, are reluctant to seek medical help and men’s health is not as prominent in the public eye or in the public agenda. READ MORE>

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URO TODAY:  The five main prostate cancer treatments can all have bad side effects, so a panel of 15 specialists have compared them and come up with some recommended improvements.

Prostate cancer (PC) is one of the tumours with the highest incidence in recent years. PC therapies have several adverse effects.

A panel consensus recommendation has been made to prevent or ameliorate complications in PC treatment to improve quality of life.

Fifteen specialists have met to analyse the different toxicities associated with PC treatment.

Each medical specialist searched National Library of Medicine PubMed citations about these secondary effects and his specialty from 1999 to 2009 to propose measures for their prevention/amelioration.

  • Surgery is associated with incontinence and impotence.
  • Radiotherapy can produce acute, late urological and gastrointestinal toxicity.
  • Brachytherapy can produce acute urinary retention.
  • Chemotherapy is associated with haematotoxicity. peripheral neuropathy and diarrhoea.
  • And hormone therapy can produce osteoporosis, metabolic syndrome, cognitive and muscular alterations, cardiotoxicity, etc.

Improvement in surgical techniques and technology (IMRT/IGRT) can prevent surgical and radiotherapeutic toxicity, respectively.

Brachytherapy toxicity can be prevented with precise techniques to preserve the urethra.

Chemotherapy toxicity can be prevented with personalized schedules of treatment and close follow-up of iatrogenia

And hormone therapy toxicity can be prevented with close follow-up of possible secondary effects.

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URO TODAY: Low density shock wave therapy may prove an effective way to treat erectile dysfunction in men who have had prostate cancer treatment, Israeli scientists report. READ MORE>

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URO TODAY: What happens to men’s orgasms after nerve-sparing radical prostatectomy for prostate cancer is little researched, so some Italian scientists (who else) have investigated some patients over four years. READ MORE>

Post-operative orgasmic function significantly ameliorates (improves) over time in patients undergoing bilateral nerve-sparing radical retropubic prostatectomy. The higher the post-operative erectile function score, the higher the orgasmic function…

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URO TODAY: Masturbation is a relatively frequent behaviour in men with erectile dysfunction, a new study shows, and inquiring this is an important issue for understanding overall patients’ sexual attitudes and behaviour. READ MORE>

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