One non-pharmacologic remedy for erectile dysfunction is the penile vacuum tumescence pump or "penis pump." This device is sold in pharmacies and by prescription from your doctor. The pump is a cylindrical tube that is closed at one end. A pumping device, sometimes similar to the pump of a blood pressure cuff, is attached to the... Read more
To change gears away from our recent discussion of erectile dysfunction associated with prostate cancer, I will start to discuss the general treatments of erectile dysfunction starting with the very conservative approaches and moving along to medical therapy. Finally, we will discuss the surgical options. A very important paper was... Read more
When using radiation therapy to treat prostate cancer, the goal is to focus the radiation "beam" only on the prostate and to avoid the surrounding structures, and thus minimize the likelihood of erectile dysfunction. The bladder, rectum and nerves responsible for erection all lay next to the prostate along with the muscle that is... Read more
We have been discussing the varying effects that the different treatment options for prostate cancer can have on erectile function. We will now discuss radiation therapy. There are several types of radiation therapy that can be administered. Brachytherapy is the administration of radioactive "seeds" into the prostate. Much... Read more
Once it is documented that the patient has "organ confined disease," or cancer that is only within the prostate and has not spread to other organs or bone, treatment options are discussed. The options include watchful waiting, active surveillance, cryotherapy, radiation therapy (whether brachytherapy, external beam therapy or... Read more