Erection or life – surgery to remove the prostate often leads to impotence

Patients with some forms of prostate cancer often undergo surgery to radical removal of the organ affected by the deadly disease. In many cases, this surgery saves their lives and gives the opportunity to return to a normal lifestyle. However, as pointed out in many cases the operation is complicated by such effects as impotence and incontinence, that doctors often do not pay enough attention. But these phenomena significantly degrade the patient’s life and are often very persistent.

As the author of a large-scale study on the effects of adenectomy prostate and other cancer treatments this body, Professor David Smith (David Smith), “problems of a sexual nature the patient is guaranteed virtually 100% after treatment of prostate cancer”.

Professor Smith, who works at the cancer Council in the Australian state of New South Wales (NSW Cancer Council) also argues that in many cases erectile dysfunction becomes a persistent impairment of sexual function.

“There is a widespread belief that over time these disorders are in themselves, but it wasn’t carried out any extensive studies to confirm this hypothesis,” he says.

David Smith decided to fill the gap in this area of medical knowledge and has studied the effects of different methods of treatment of prostate cancer in 1 of 600 patients with this diagnosis; the control group consisted of 500 healthy men.

Radical prostatectomy and radiotherapy (irradiation of the tumor by an external source of radioactive rays), and the combination of these two types of therapy led to the development of persistent impotence in 70-80% of patients. Surgery without damaging the nerves somewhat improved result, but not much.

The so-called androgen deprivation (inhibition of synthesis of male sex hormones) two years later led to impotence in 94% of patients, and the number of people suffering from erectile dysfunction 5 years after this therapy was increased to 97%.

The best results showed brachytherapy (type of radiotherapy in which the radiation source is introduced into the prostate): erectile dysfunction 2 years later complained about 38% of patients, and 5 years later the number had risen to 43%.

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