I will now discuss why in some patients with prostate cancer, the nerves can readily be spared during the removal of the prostate and in others they need to be removed. When the patient is first diagnosed with cancer of the prostate, obviously, all options of treatment are presented to the patient. I then need to get an accurate assessment of... Read more
In response to a question from one of the readers, I will further elaborate on the robotic assisted laparoscopic prostatectomy and how it relates to erectile dysfunction. Around the year 1997 the laparoscopic prostatectomy was introduced. This allowed us to remove the prostate via small incisions. The procedure, however, is very difficult,... Read more
In the preceding entries I have focused on the erectile dysfunction that typically follows the surgical treatment of prostate cancer. All treatments for prostate cancer are accompanied by their own spectrum of side effects. The major side effects include incontinence and ED. My goal with any prostate cancer patient is to first cure the... Read more
The initial evaluation for erectile dysfunction (ED) includes a history and physical exam. How long the problem has been affecting the patient is very important. Was this a gradual phenomenon or was this something that happened overnight? The former may be the result of a chronic process (other medical problems) and the latter may be due to a... Read more
The nerves responsible for erection are located very close to the surface of the prostate. These nerves "live" in what I would liken to a blanket draped over the prostate. In a non-cancerous (benign) prostate and prostates where the cancers have been detected early and are not aggressive (low grade cancers), the nerves (the blanket)... Read more
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