Erectile dysfunction and prostate surgery help,survive the savage sea summary,first aid at work course st johns ambulance - PDF 2016

admin | Category: Electile Dysfunction 2016 | 12.05.2015
Erectile dysfunction (ED) occurs more frequently when prostate cancer is treated surgically rather than medically. Phosphodiesterase type 5 inhibitors are often used initially for ED following radical prostatectomy. Address the medical and psychological issues of ED in conjunction with treatment options early in the disease course. Reasons for not seeking treatment include embarrassment, financial instability and threatened masculinity. With the diagnosis of a localized tumor, many patients choose complete eradication of the cancer by means of radical prostatectomy.
Erectile dysfunction (ED) is one of the most devastating long-term obstacles following treatment of prostate cancer, regardless of the management chosen by the patient. Easy-to-use and inexpensive, phosphodiesterase type 5 (PDE-5) inhibitors are often prescribed following radical prostatectomy.
Providers must realize that ED may be a lifelong complication following prostate-cancer treatment, despite the availability of acceptable management options. From a primary-care standpoint, patient education plays a large part in the treatment and management of a prostate-cancer patient. Some men however find that taking a different perspective on the problem goes a long way to being able to completely ignore the lack of an erection during sexual activity.
The vast majority of men consider that an erect penis is absolutely essential if both they and their partners are to be satisfied with sex. In fact the erect penis contributes very little to a satisfying sexual encounter unless the aim is to make babies and even then there are very successful alternatives.

Therefore a frank discussion with ones partner or perhaps even seeking help from a sexual counselor may bring a man to the conclusion that erectile dysfunction is not such a big deal after all.
So therefore I was able to go into treatment for prostate cancer without any real concerns about the possibility of erectile dysfunction.
Loss of libido due to chemo-therapy or other causes is entirely another matter of course, which can certainly cause erectile dysfunction and may require a different management approach.
Male sexual stimulation is a multifaceted process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. The majority of erectile dysfunction can be linked to common conditions like high blood pressure, diabetes, smoking or obesity. Forming an erection can be affected by the brain and your fluctuating emotions and hormone levels. In fact, it is generally recognized as the favored treatment for localized prostate cancer in young, otherwise healthy men with high probability of significant life expectancy.4 While this treatment reduces mortality, distant metastasis, and tumor recurrence, it is also associated with possible lifelong side effects. A trial of sildenafil (Viagra) is a sound initial choice for prostate-cancer survivors presenting with ED after surgical treatment.
After radical prostatectomy, almost 60% of men are unable to maintain firmness for intercourse, and about 44% are completely unable to have erections.1 Providers need to address the medical and psychological issues of ED in conjunction with treatment options early in the disease course. A survey of prostate-cancer survivors indicated a need for more information concerning the side effects of the cancer itself and its treatments.20 Patients surveyed also placed an importance on sexual function postoperatively. A closer look at the reasons behind this belief however starts to raise some serious doubts as to whether the claim would stand up in court.
The nerve endings that excite pleasure during sexual activity in both the male and female are not efficiently stimulated by the penis during sexual intercourse.

This means that having penetrated the vagina the penis is about as much value as a sword in a scabbard. Certainly using only the penis, in any condition, is a fairly clumsy and ineffective method of stimulating the female erogenous nerves. I have limited erectile capability returning after chemical castration and radiation therapy but in my case that is quite irrelevant. But it didn’t take me long to learn that I can have just as much fun with an equally excited partner and continue for a lot longer, without wrecking my bed. Even so the body has amazing recuperative ability and the return of libido usually occurs as testosterone levels return to normal. Certain medications (those that treat blood pressure or psychiatric conditions like depression) and prostate cancer treatments can potentially lead to erectile dysfunction. Although it is essential that men with prostate cancer are effectively treated, primary-care providers must keep in mind the possible complications and preservation of function after treatment. Successfully coping with diagnosis, treatment, and adverse effects can drastically alter personal aspects of quality of life for patients. The fact that information concerning management of ED ranked seventh on a list of top unmet needs shows that the side effect and its treatment were not sufficiently presented to a significant number of patients.20 ED might be included on a list of side effects presented to patients in the preoperative period, but discussion of the side effect itself and options for its treatment are often not readily explored. Over 95% of the female nervous system, the erogenous zones, which play such an important part in sexual excitement and gratification, are external to the vagina.

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