Radical Prostatectomy (Surgery)
Tips and advice for any sexual side effects of treatment
For those who suffer from erectile dysfunction, it requires sympathetic understanding from a partner as well as preserving as much intimacy as possible short of the actual sex act.
Tips and advice for any physical side effects of treatment
The worst side effect by far were bouts of intense perineal pain every time I tried to move my bowels. This set in about a week after my operation and lasted for approximately six weeks. Each bout lasted for about an hour and could not be alleviated by any kind of painkiller. All I could do was lie prone on my bed for up to an hour when the pain would lessen and then vanish. But I had to live with the knowledge that it would be recur with the next bowel movement.
How this treatment impacted my life the most
I was told that the perineal pain would in time go away so its impact on my life was limited to the six weeks it lasted.
If I had to do it all over again, would I choose the same treatment?
Not sure
Why did I give this answer?
There have been medical advances since I had my laparoscopic radical prostatectomy and it is possible that another form of treatment might now be as good as, if not better than, the treatment I received.
Radiotherapy
How this treatment impacted my life the most
Ten years after my laparoscopic radical prostatectomy my PSA readings started to climb again and, following tests at my local hospital, it was agreed that the prostate bed needed irradiating to remove any cancer. This involved a Monday to Friday daily course of radiotherapy with about 32 sessions. The treatment itself was pleasant and pain free. However, the overall process was tiring given that the hospital where I had the treatment was about 50 minutes away by train or by car.
If I had to do it all over again, would I choose the same treatment?
Yes
Why did I give this answer?
The radiotherapy, carried out with a very late model machine, appears to have done the trick and the procedure was handled very efficiently. It would not be as tiring another time as I now live in a town much closer to a hospital so the travelling would be much less.