ED after Radiation

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Hunter48152
Regular Member


Date Joined Feb 2010
Total Posts : 32
   Posted 5/18/2010 10:09 AM (GMT -6)   
I finished up my rad treatments almost 2 weeks ago (37) treatments. Up till the last couple weeks ED meds were working ok. Getting down to the last couple weeks of treatment until now the meds don't seem to work anymore. Also the doc did a testosterone check and found mine was at 150. He told me that as of now he doesn't recommend supplement testosterone replacement since it could cause the cancer to come back more aggressively if they missed any. Has anyone had a circumstance like this and what did your doc say?
Age: 44
Diagnosed: 9/09 PSA: 5.3
Ultra sound showed lump on left side
Biopsy: 5 of 12 Pos. Gleason: 6
Da Vinci Nerve sparring done: 12/16/09
PSA 1 month after surgery: 0.0
Path. Report: Tumor at the margins but had not gone through capsule
Start Low Dose Rad. March 2010 as a precaution


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2229
   Posted 5/18/2010 10:21 AM (GMT -6)   
Hunter,
I was told by my Radiation Oncologist that since I still had ED after surgery that I was likely to have an 80% chance of it continuing after radiation. But give it some time as yours might be temporary from tx. My guess is that you would likely get different answers from different Dr's regarding your situation. Best to you and hope it improves with time.
Michael
Dx with PCA 12/08 2 out of 12 cores positive 4.5 psa
59 yo when diagnosed, 61 yo 2010
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
2 pads per day, 1 depends but getting better,
 started ED tx 7/17, slow go
Post op dx of neuropathy
T2C left lateral and left posterior margins involved
3 months psa.01, 6 month psa.4, 6 1/2 month psa.5 on 11/28/10
Starting IMRT on 1/18/10, Completed 39 tx at 70 gys on 3/12/10
6 week Post IMRT PSA .44 a drop from .5 but maybe more
Great family and friends
Michael


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 5/18/2010 11:29 AM (GMT -6)   
I no ED issues after open surgery, and have since been through SRT (39 sessions), six months have almost passed by, and still no ED issues. Think this would vary from man to man.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one:  July
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 286
   Posted 5/19/2010 4:11 PM (GMT -6)   
My ed wasn't a big problem after surgery and responded well with cialis, then not really needed just prior to SRT. During radiation I mentioned to the doctor that I seemed to be regressing some in the ed situation and he thought that over time this will be just temporary. Now about 2 months away from the SRT finish, I'm pretty much back to where I was prior... pretty good without cialis and best with about a half dose of cialis.

Our best to you and the others,
Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3,
01/05/10 psa still .3, radiation setup done with tats, 01/19/10 started 39 sessions 70.2gy, psa at 6th week salvage IMRT up to .4


Galileo
Veteran Member


Date Joined Nov 2008
Total Posts : 697
   Posted 5/19/2010 4:53 PM (GMT -6)   
I had ED after prostatectomy, but was functional with Cialis. After SRT I didn't notice any change in the ED. Still 100% with Cialis.
It could be that SRT did have an effect--that maybe I would have recovered completely from ED had it not been for the SRT. I'll never know.
But I'm not complaining. I'm at least as potent as I was before the start of radiation, maybe even a little bit improved.
No incontinence from radiation, either.

Sometimes I wish I would have skipped surgery and gone straight to IMRT.
Galileo

Dx Feb 2006, PSA 9 @age 43
RRP Apr 2006 - Gleason 3+4, T2c, NX MX, pos margins
PSA 5/06 <0.1, 8/06 0.2, 12/06 0.6, 1/07 0.7.
Salvage radiation (IMRT) total dose 70.2 Gy, Jan-Mar 2007@ age 44
PSA 6/07 0.1, 9/07 and thereafter <0.1
http://pcabefore50.blogspot.com


Paul1959
Veteran Member


Date Joined Nov 2007
Total Posts : 598
   Posted 5/20/2010 9:49 AM (GMT -6)   
You might consider using a VED to keep your penis in the best possible health. You very well could improve after a while. But meantime, don't ignore what you can do to help it. Injections are a good alternative if you don't want to use a pump.
Find what you are comfortable with. Don't let this rob you of your sex life.
Paul
www.franktalk.org ED website for PCa guys

46 at Diagnosis.
Father died of Pca 4/07 at 86.
10/07 PSA 5.06 (Biopsy 11/07 1 of 12 with 8% involvment) (1mm)
Da Vinci surgery Jan 5, '08 at Mt. Sinai Hosp. NYC www.roboticoncology.com
Saved both nerve bundles.
Path Report: Stage T2cNxMx
-Gleason (3+3)6
Pad free on March 14 - (10 weeks.) Never a problem since.
ED - at one year, ED is fine with viagra.
Two year PSA - undetectable!

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