Minimizing The Side Effects Of Prostate Cancer Surgery

Information about penis enlargement,
penis size, STDs, sexuality,
penis conditions, jelqing,
infertility, adolescence
and prostate health.
Erectile Dysfunction  |  Fertility  |  Penis Conditions  |  Penis Enlargement  |  Penis Size  |  Prostate  |  Sexuality  |  STDs


26 April 2000
Minimizing The Side Effects Of Prostate Cancer Surgery

Many men with prostate cancer may endanger their lives by avoiding prostate removal, unwilling to deal with the surgery's reported side effects. Now, in a study reported in a recent issue of Urology, Johns Hopkins researchers conclude that when patients seek out a surgeon highly experienced in the procedure, they are far more likely to remain continent and potent than if their operations were done by a less experienced doctor. In addition, the study's potency and continency rates are the highest ever reported after prostate removal.

"There is no better way to cure cancer that is confined to the prostate than total surgical removal of the prostate," says Patrick Walsh, M.D., director of the Brady Urological Institute and lead author of the study. "And at a high-volume center of excellence, the side effects of radical prostatectomy are minimal and the outcome is quite good."

In the early 1980s, Walsh discovered that the nerves that run to the corpora cavernosa, the spongy, erectile bodies in the penis, sit outside the capsule of the prostate. This led Walsh to develop nerve-sparing radical prostatectomy.

Many men, however, still decline to have the surgery because of high rates of reported side effects in the bedroom and bathroom arena. Doctors at several centers, Walsh notes, report that one year after the surgery, only 50 percent of their patients are continent and between 10 and 30 percent are potent. These figures disagree with findings from several centers of excellence, where up to 93 percent of patients report continency and 65 percent report potency.

Until now, these discrepancies have been attributed to different methods of data collection. It appeared that patients reported worse side effects when they answered via an anonymous patient questionnaire than when they reported directly to the doctor. When asked directly, some doctors hypothesized, patients may not be as forthcoming with the truth because they don't want to disappoint their doctors or, perhaps, surgeons have an unconscious bias toward minimizing adverse outcomes.

To more accurately identify side effect rates, anonymous patient questionnaires were distributed by an independent third party to 64 men with prostate cancer before radical prostatectomy as well as three, six, 12 and 18 months after the surgery. The researchers found that when patients were asked at 12 months whether they had a problem with urinary control, 98 percent said they did not have a problem or, if they had a problem, it was small. At 18 months, 86 percent of the men reported being potent. The recovery of sexual function varied with age: 100 percent in men 30 to 39 years of age; 88 percent in men 40 to 49; 90 percent in men 50 to 59; and 75 percent in men 60 to 67.

"This is a demanding operation," says Walsh. "Patients who feel that radical prostatectomy is the best treatment for their condition should seek out physicians who do a lot of them, if not exclusively."


Home Page
Back to the home page for penis news and info.

Penis Size Survey
How big is the average penis? Measure the size of your penis and see how you compare in our penis size survey.

Reference Guides

Adolescence

Diseases

Dysfunction

Fertility

Male Menopause

Male Sexuality

Penis Conditions

Penis Enlargement

Penis Size

Prostate Health

Penis Enlargement

Enlargement FAQ

Jelqing

Penis Surgery

Penis Pills

Enlargement Sites

Traction

Penis Ponderings
Our resident columnist takes a light-hearted look at various knob related matters.

Penis Links
A variety of penis health related links including the FDA, AMA, vasectomy info, foreskin restoration, STD information, penis pictures, male sexual health, erectile dysfunction and more.

Penis Provisions
Condoms, lubricants, HIV testing kits, jock straps, sports underwear, penis pumps, supplements, pheromones, exercises to increase length and girth, sexual health books, personals, seduction guides, ejaculatory boosters, hair removal products - everything you need for a happy, contented penis!

Contact Us
Please be aware that we can't respond to health related questions via email. Please see your doctor for health matters.

Erectile Dysfunction  |  Fertility  |  Penis Conditions  |  Penis Enlargement  |  Penis Size  |  Prostate  |  Sexuality  |  STDs
Home  |  Penis Size Survey  |  Penis Enlargement FAQ  |  Penis Provisions  |  Penis Links  |  Penis Ponderings  |  Contact
 
Copyright 2000 - 2005 altPenis.com and its licensors. All rights reserved.

    

Please be aware that we cannot respond to your health related questions via email.
Please see your doctor for any concerns about your reproductive health that you may have.
The information presented on altPenis.com is for general convenience and entertainment only and is not a substitute for medical advice. Your use of the altPenis.com website indicates your agreement to our terms and conditions of use. Links from this site to other sites do not constitute endorsement of those sites and we take no responsibility for the content of external sites.