Radical prostatechtomy orgasm

Men worry about erectile dysfunction after radical prostatectomy, the operation that involves removing the prostate gland as a way to treat prostate cancer. Men, their spouses and partners, and their surgeons should talk about erectile dysfunction before and after the surgery. But orgasm after radical prostatectomy? Ravi Kacker thinks that should change.

Medicare open enrollment ends Dec. Best chance of preserving sexual function: opt for nerve-sparing surgery, then use erection medication. The truth is more complicated: A man facing treatment should prepare himself for the probability of ED. But while typical, ED is not inevitable. And any man who develops it can still enjoy great sex — including deeply satisfying orgasms — as long as he is willing to stop viewing an erection as a prerequisite. Assuming annual checkups, prostate cancer is likely to be diagnosed early, before it has spread outside the gland.

In addition to urinary incontinence and erectile dysfunction, several other impairments of sexual function potentially occurring after radical prostatectomy RP have been described; as a whole, these less frequently assessed disorders are referred to as neglected side effects. In particular, orgasmic dysfunctions ODs have been reported in a non-negligible number of cases, with detrimental impacts on patients' overall sexual life. This review aimed to comprehensively discuss the prevalence and physiopathology of post-RP ODs, as well as potential treatment options. Clinical and surgical factors including age, the use of a nerve-sparing technique, and robotic surgery have been variably associated with the risk of ODs after RP, although robust and reliable data allowing for a proper estimation of the risk of postoperative orgasmic function impairment are still lacking. Likewise, little evidence regarding the management of postoperative ODs is currently available.

David B. Certainly, a prostate cancer cure is top priority, but then what? Samadi, MD, understands that men want to know:. If you select robotic prostate surgery your chances of enjoying sex after prostate surgery are very high.