Prostatitis Forum & Social Network
Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
In my readings from various surgical web sites (really ads for different
surgical practices) - thre are some practices that mention that they encourage
the use of Viagra (or similar) a few times a week post surgery (as soon at
catheter is out) to assist with ED recovery. Others go farther and say if no
impact after a month - encourage weekly use of injections for ED.
I looked for studies - and found a little - very little on this.
So - Dr K - in the absence of knowledge (i.e. good studies) can you share with
us your opinion and practice in this area. Do you find that using these modes
early on after nerve sparring surgery helps patients recover potency.
Now - I know that preoperative function matters, as does overall health and
issues like diabetes etc.
But - that aside - have you found that on average - using something like this
helps men who are healthy and potent presurgery - recover faster or better?
Additionally - do you have any stats on your younger prostatitis patients (under
55) as opposed to generally older cancer patients - chances of ED recovery.
In reviewing your surgical web site for prostatitis - it seems most men still
refer to erections as "a work in progress" or "improving" - and few refer to
recovery of potency.
So - I just want appropriate expectations. Is it fair to say that even a young
potent man will likely have permenent ED after LRP? Because - if it is - it
would not necessarily stop me or others - but it would be best to know such
things up front.
I know a lot of factors go into this - and you are likely going to say "...the
only thing in the surgeons controll are..." and I get that.
But patients like me really want/need to know what we are in for in reality (are
we signing up for a life of impotence or not). Again - it is not a deal breaker
for many of us - we just need to know.
When I review the prostate cancer blog sites - most of those men who had nerve
sparring robotic LRP are basicly impotent (could be those are the only ones that
post....)."
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