Erectile Dysfunction After Radiation #prostatecancer | #markscholzmd | #pcri

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06/15/23

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With the rapid advancements in radiation and imaging technologies since the development of IMRT in the early 2000s, impotence has become one of the last major side effects of men who undergo radiation to cure their prostate cancer. Here, Medical Oncologist Mark Scholz, MD, discusses the ****ual side effects of radiation and steps that men can take to try and mitigate these side effects.

0:26 What are the ****ual side effects of radical treatment with radiation? ("radical," meaning that the radiation is administered to the entire prostate gland.)

2:09 What is the proper dosage and timing of drugs like Cialis?

4:29 What is the timeline for erectile dysfunction after radiation?

5:39 Is there anything patients can do prior to radiation treatment to reduce the probability of having erectile dysfunction?

7:10 Why do the side effects of surgery happen immediately, while impotence from radiation can occur a year or more after treatment?

8:41 Can focal therapy help mitigate ****ual side effects from prostate cancer treatment?

9:46 You have mentioned using injection therapy after surgery as an attempt to have regular erections as a form of maintenance to prevent penile atrophy; is the same true for radiation?

10:58 When would a patient start injection therapy to try and prevent penile atrophy?

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