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Prostate problems and erectile dysfunction - prostatitis, cancer, adenoma https://www.youtube.com/watch?v=1UHTtmGuNaU
Sexual dysfunction in the patient with prostatitis.
Prostatitis [chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)] is a common condition in men that accounts for a significant number of visits to a medical doctor or urologist. It is one of the most widely diagnosed conditions in men attending urologic clinics. Erectile dysfunction, defined as the consistent inability to obtain and/or maintain a penile erection sufficient for adequate sexual relations, is also a common problem. This review explores the links between sexual dysfunction and prostatitis.
Most of the data linking lower urinary tract symptoms and erectile dysfunction suggest that lower urinary tract symptoms impair the overall quality of life and that a low quality of life contributes to or causes erectile dysfunction. Prostatitis-like symptoms such as perineal, penile, and suprapubic discomfort or pain during or after ejaculation and voiding complaints such as irritative and obstructive voiding symptoms: urinary frequency, urgency, and dysuria may affect the global emotional well-being of a man. Erectile dysfunction is also strongly associated with a negative impact on the quality of life.
Prostate cancer and impotence
How men feel about it
When it comes to prostate cancer and impotence, we would never profess to understand how all men think.
But we can share insights about what men may be feeling when faced with partial or complete loss of erectile dysfunction (ED) and loss of libido (sexual desire) based on literature about recent research.
Setting the stage
It’s important to understand that men who are experiencing ED after surgery or radiation therapy generally do not lose their libido.
Men with advanced prostate cancer who are on hormone therapy (also called androgen deprivation therapy or ADT), however, typically lose both their desire for sex and their ability to have an erection. This depends, in part, upon which drug(s) they take.
These side effects are usually more severe with luteinizing hormone-releasing hormone analogs/agonists (such as Zoladex and Lupron). Other bodily changes that are drug-dependent, and have been found to be most bothersome to men, can include:
Weight gain (in areas that women typically gain weight)
All of these side effects can be challenging to both men and their partners. Some couples:
Grow closer and develop even greater intimacy than before prostate cancer
Experience some level of frustration, anger, confusion, sadness or disappointment with prostate cancer and impotence
The available literature demonstrating the influence of CP/CPPS on the incidence of erectile dysfunction is scant. From the literature, it is known that lower urinary tract symptoms and benign prostatic hyperplasia are definitely related to erectile dysfunction. Any kind of pain is likely to be the most significant symptom in men with CP/CPPS as it relates to sexual dysfunction. Sexual dysfunction like ejaculation discomfort is described as a symptom of CP/CPPS. Indeed, most of the data linking the two suggest that CP/CPPS impairs the overall quality of life and it is this that contributes to or causes erectile dysfunction.
Can I measure my own symptoms?In order for you to assess how bad your prostate symptoms are, complete the IPSS symptom score sheet and bring it with you to your consultation or take it to your GP. It is also useful to complete a frequency volume chart if you are going to see a urologist. This is a record of the amount of urine you pass each time over a 24 hr period, and usually three days worth of recordings are needed. These days do not have to be consecutive. Please click here for a frequency volume chart.What are the treatments for BPH?The symptoms of BPH do not always require treatment. Some men are able to cope with them by altering their fluid intake. Others take medication. If neither of these help, then surgery is usually the best option.What medication is available?
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