The Prostate Cancer Sex Rebound

Men want to be cancer free and sexually active, says robotic prostate surgeon Dr. David Samadi

New York, New York, UNITED STATES

New York, NY, March 27, 2013 (GLOBE NEWSWIRE) -- For most men, recovery from prostate cancer is about much more than battling the cancer. It's about walking the line between a prostate cancer cure and ED (erectile dysfunction). In reality, each prostate cancer treatment--prostatectomy surgery, hormone therapy, radiation, and HIFU (high intensity focused ultrasound)--will alter what patients have come to see as "normal" sex.

Dr. David Samadi, Vice Chairman of the Department of Urology and Chief of Robotics and Minimally Invasive Surgery at Mount Sinai Medical Center, begins each patient consultation with the assurance of prostate cancer removal via robotic surgery. He ends each consultation with sex talk. "Men want to be cancer free and sexually active, it's that simple," says Dr. Samadi. "My job is to help them understand how robotic surgery and dedicated post-operative care will help deliver both."

An innovative surgical approach--the Samadi Modified Advanced Robotic Technique (SMART)--is the first step, he says. Dr. Samadi's nerve-sparing robotic prostatectomy has 85 percent of men sexually potent within 12-24 months of surgery. But, he assures, the road to enjoyable sexual activity can begin shortly after SMART surgery.

After prostate cancer, sex brings more sex:

-       Self-stimulation and partner intimacy will pave the way to sexual confidence and stronger erections

-       Kegel exercises before an after surgery strengthen the pelvic floor, improve urinary control, and may even enhance orgasms

-       ED medication works; you may need Cialis, Viagra, or Levitra for the short-term or the long-term, either way embrace the boost they provide

-       Give sex a try; the erection needed for intercourse isn't as strong as you might think and the sooner you start having sex the sooner penile rehabilitation will come

In addition to helping men and their partners regain sexual intimacy and enjoyment, Dr. Samadi brings some realism to the picture, as well. "The simple truth is that sexual potency declines as men age, with or without prostate cancer. That doesn't mitigate the importance of treatment choice, but it helps to maintain a degree of perspective on aging in general," he asserts.

In fact, a men's aging study found that more than half of men over age 40 experience some degree of erectile dysfunction, Since the majority of men diagnosed with prostate cancer are over age 65, it stands to reason that some ED may already be present.

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