Prostate Surgery and Trimix
Prostate Surgery & ED
Erectile dysfunction following radical prostatectomy for clincically localized
prostate cancer is a known potential complication of the surgery. With the advent of the nerve-sparing radical prostatectomy
technique, many men can expect to recover erectile function in the current era.
Erectile Dysfunction following Radiation Therapy
About 25 to 50% of men who undergo brachytherapy will experience erectile dysfunction vs. nearly 50% of men who have standard external beam radiation. After two to three years, few men will see much of an improvement and occasionally these numbers worsen over time.
How High Blood Pressure Medications can cause ED.
A) Diuretics may cause erectile dysfunction by decreasing the force of blood flow into the penis.
They may also decrease the amount of zinc in the body. Your body needs zinc to make testosterone.
B) Beta-blockers dampen the response to nerve impulses that lead to an erection. They also make it more difficult for the arteries in the penis to widen and let in blood. What's more, they can make you feel sedated and depressed -- and the mind always plays some part in sexual arousal.
Management of Erectile Dysfunction
Oral medications relax the muscles in the penis, allowing blood to rapidly flow in. On average, the drugs take about an hour to begin working, and the erection-helping effects can last from 8 to 36 hours.
About 75% of men who undergo nerve-sparing prostatectomy or more precise forms of radiation therapy have reported successfully achieving erections after using these drugs. However, they are not for everyone, including men who take medications for angina or other heart problems and men who take alpha-blockers.
Alternative Treatments
Men who do not recovery erectile function after treatment can try injectable medication that pharmacologically induced an erection. The most common drug used for this is Prostaglandin and Trimix is an often the prescribed medication for this