Radical Prostatectomy (Surgery)
Tips and advice for any sexual side effects of treatment
This is very much an individual thing, each person being different. I have been lucky, not as lucky as some but more than others. I was always keen on sex with a good libido and didn't allow my condition to interfere with my sexual desires. I was unable to get an erection for quite a while following my operation but persisted with trying. I did not find medication helpful due to the headaches that came with taking them and the same applied to the derivatives. I do use them from time to time but can manage without them though maintaining an erection for long periods is difficult, but there are other things one can do !
How this treatment impacted my life the most
I was unaware that I had prostate cancer which was picked up following regular PSA tests and confirmed by two biopsies. My radical prostatectomy was carried out robotically two months after diagnosis and I was up and running fairly normally very quickly. I did suffer from leakage straightaway which gradually decreased from probably total to where it is now, about 40-50 ml per day. I dare say I could get this lowered if I was determined and actually did my pelvic floor exercises. I wear a small pad and this is not inconvenient. I can empty my bladder normally when required
If I had to do it all over again, would I choose the same treatment?
Yes
Why did I give this answer?
Not keen on the idea of alternative treatments, but do wonder whether a radical prostatectomy would have been suggested in today's world