Its a well known fact that radical prostatectomy, the surgery done in cases of prostatic cancer results in erectile /sexual dysfunction in nearly 40% of men. A recent study concentrated on the methods to reduce the same.
Prostate gland which forms a part of the male reproductive system is a walnut sized gland weighing about 11 grams. It is situated below the urinary bladder and surrounding the urethra. It secretes an alkaline, milky white fluid which forms about 30% of the bulk of semen. These secretions are necessary for the life of sperms in the acidic female reproductive tract.
Prostatectomy or the surgery for the removal of prostate gland is indicated in prostatic cancer in early stages as a curative treatment and in advanced cases as a palliative measure to relieve the patient of the urinary obstruction. This surgery can be done by transurethral approach or retropubic approach or perineal approch or by a laparoscopic method. The most common complications of this surgery are urinary incontenance and impotence.
What is this study?
Researchers in the Cornell university tried to find out measures to decrease the incidence of sexual dysfunction in patients undergoing prostatectomy.
The study involved 408 men with a mean age of 60, who underwent a robot-assisted laparoscopic radical prostatectomy and were for an average of three years. All of them were able to have an orgasm before the surgery.
This study was published in the British Journal of Urology International.
The results
Patients whose cavernous nerves of the penis were spared on both sides had a better chance to retain their ability to achieve orgasm than those who had not had the chance for the same.
74% of the men were able to have their nerves spared bilaterally. Of this group, 91 percent experienced no change in their ability to achieve orgasm following the surgery.
About 13 % of the men had their nerves spared on only one side. Of them, 82 percent had the same ability to reach orgasm.
Another 12 percent had little or no nerve sparing, with 62 percent of them were still able to achieve orgasm the same way they did before the operation.
Another factor found to influence the outcome was age of the patient.
This study showed that orgasm rates were significantly higher in men younger than 60 who had their nerves spared on both sides. Orgasm rates dropped by 10 percent to 83 percent among men older than 60, even if their nerves were spared on both sides.
What is the treatment?
Psychotherapy forms the mainstay of treatment. Sildenafil (Viagra), Vardenafil (Levitra), and Tadalafil (Cialis) may help in some cases.
Prostatectomy or the surgery for the removal of prostate gland is indicated in prostatic cancer in early stages as a curative treatment and in advanced cases as a palliative measure to relieve the patient of the urinary obstruction. This surgery can be done by transurethral approach or retropubic approach or perineal approch or by a laparoscopic method. The most common complications of this surgery are urinary incontenance and impotence.
What is this study?
Researchers in the Cornell university tried to find out measures to decrease the incidence of sexual dysfunction in patients undergoing prostatectomy.
The study involved 408 men with a mean age of 60, who underwent a robot-assisted laparoscopic radical prostatectomy and were for an average of three years. All of them were able to have an orgasm before the surgery.
This study was published in the British Journal of Urology International.
The results
Patients whose cavernous nerves of the penis were spared on both sides had a better chance to retain their ability to achieve orgasm than those who had not had the chance for the same.
74% of the men were able to have their nerves spared bilaterally. Of this group, 91 percent experienced no change in their ability to achieve orgasm following the surgery.
About 13 % of the men had their nerves spared on only one side. Of them, 82 percent had the same ability to reach orgasm.
Another 12 percent had little or no nerve sparing, with 62 percent of them were still able to achieve orgasm the same way they did before the operation.
Another factor found to influence the outcome was age of the patient.
This study showed that orgasm rates were significantly higher in men younger than 60 who had their nerves spared on both sides. Orgasm rates dropped by 10 percent to 83 percent among men older than 60, even if their nerves were spared on both sides.
What is the treatment?
Psychotherapy forms the mainstay of treatment. Sildenafil (Viagra), Vardenafil (Levitra), and Tadalafil (Cialis) may help in some cases.
0 comments:
Post a Comment