Can prostate cancer not the treatment cause ED?

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New Member

Date Joined Mar 2009
Total Posts : 1
   Posted 3/27/2009 6:00 PM (GMT -6)   
I read a lot of sources on the internet and most of them say that treatment causes ED not the cancer itself. But some sources say that rarely prostate cancer may affect nerve and cause ED.

Here is the my story . I'm 38 y.o. I've started experience problem with ED. Went to urologist after blood test and hormone test come back normal he gave me prescription for ED drugs. At the same time I noticed that my urine stream is quite weak. I went to another urologist who did DRE and noticed that texture on right side is more dense. I did PSA test which came back 1.9. Report says for my gland maximum PSA should be 2.1 Yes, I read all about misleading numbers for PSA. Did TRUS prostate gland 22 cc righ globe has slightly more dense texture than left and middle. No nodules were found Also right side has sligtly more blood flow that left side and recommended repeat TRUS after 6 month just for check up/ Urologist said prostate cancer rarely gives any symptoms on early stages and if it's cancer, with those symptoms PSA would be much higher for sure . He says all I have chronic prostatitis. I got antibiotics for several weeks. He says you can repeat PSA test in 3 - 6 month and go from there. He is exprerienced urologist but I'm scared for sure. He said there is no reason for biopsy since my PSA just a number and biopsy reccomended only when PSA elevates. Result of DRE/TRUS bothers me as well as symptoms. I'm not keen to insist on biopsy myself due obvious reasons.

Post Edited (Mike70) : 3/27/2009 5:19:15 PM (GMT-6)

Regular Member

Date Joined Nov 2008
Total Posts : 299
   Posted 3/28/2009 8:23 AM (GMT -6)   

Are you on any other medications? To me, it doesn't sound like you have Prostate Cancer but I would defer to the doctors.

I started taking Viagra when I was in my early 50's due to hypertension medication. Started Cialis a year after that, my doctor was quite willing to prescribe both and also the max dosage so I could cut the pills in half to reduce the cost. If you read my profile, you will see that I had a very aggressive cancer. The PSA went from 4.1 to 10 in a year and my Gleason scores were high. But the viagra and cialis both worked fine prior to the surgery.

I also had by-pass surgery in 2005 and contrary to what you might think, I had to continue the hypertension medication. So I was also on the ED meds. The hypertension medication was Zestril and said one of the not common side effects was ED. But every guy is different and it sure made a difference for me.

Age 60
PSA 2007 4.1
PSA 2008 10.0
Diagnosed April 2008
Biopsy: 6 of 12 cores positive
Gleason 4 + 5 = 9
CT and Bone Scan negative
Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared
Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th
lymph nodes negative
PSA Sept 28, 2008 0.00
PSA Jan 22, 2009 0.00

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