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The most common form of prostate cancer in men, along with the debilitating treatments associated with it, can cause psychological and physical changes. This puts the partnership under tremendous strain.

The main reason for the treatment’s emotional impact is the loss of sexual function. How does prostate cancer affect sexuality in men?

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After Prostate Surgery Sex

“Will I be able have sexual intercourse even after my treatment?” Many men with prostate cancer are driven by this question. According to Dr. Olaf Reichelt (Head Physician at Helios Klinikum Aue), “erectile dysfunction” is a common side effect of prostate cancer treatment.

The nerve fibers controlling male potency and erection are very sensitive and run very close to the prostate surface. They then travel to the penis through the so-called “vascularnerve bundles”.

Unfortunately, erectile dysfunction (also known as impotence or “erectile dysfunction”) is not common after the removal and can cause severe pain for some men.

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If the tumor is located within the prostate (i.e. Radiant nerve-sparing prostatectomy is the primary option for patients with prostate cancer. It can often lead to not only a complete cure but also preservation of erection.

Advanced prostate cancers, where the tumor has broken through the prostate capsule, require more resection in order to remove the tumor completely. This case requires the removal of all vascular-nerve bundles. These cases can lead to impotence post-operatively. The resident urologist offers treatment options.

To remove as little tissue as possible but not as much as is necessary during tumor resection surgery, additional frozen section inspections are done by a pathologist using a microscope. Re-cutting may be necessary if tumor cells are found at the margins.

The urethra may also be cut near the sphincter during prostatectomy and reattached with the urinary bladder. Incontinence is always possible.

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How can you help Erectile Dysfunction?

Talk to the post-operative urologist immediately if there are any problems with erectile functions after the operation.

Sven Fehrmann is a doctor at the urological MVZ, Schwarzenberg. He knows that many men feel ashamed to openly discuss their sexual problems and intercourse. There is almost always temporary or permanent erectile dysfunction after the prostate has been removed. It is crucial to discuss any further treatment with your man immediately to avoid permanent impotence.

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In order to allow sexual activity, many people use drug therapy with PDE-5 inhibits in post-operative impotence. These tablets can dilate the penile vessels, allowing for increased blood flow to the penile erectile tissues. This medication should not be used at a later stage and in low doses to ensure that there is no damage to the corpus cavernosum connective tissue.

You can also administer another medication to increase blood flow as an alternative to tablets. You can inject it directly into your erectile tissue (SKAT), or use an applicator (MUSE) to introduce it into the urethra.