Viagra Useful for Impotence Following Prostate Surgery

Nov. 30, 1999 (Washington) — Men with prostate cancer who have their prostate removed are more often than not free of cancer, but the method regularly comes with a taken a toll — impotence. A modern study, in any case, shows that Viagra (sildenafil), the prevalent medication for erectile dysfunction, can reestablish impotency misplaced in surgery. Whether men respond, in any case, depends on how much nerve harm occurred during surgery.

Each year some 200,000 men are diagnosed with prostate cancer and, of those, 50,000 will ought to experience surgical removal of the prostate.

“Incontinence and impotence are the two most common [prostatectomy] side impacts. A huge number of patients, even with nerve-sparing strategies, conclusion up with erectile dysfunction,” Milton Lakin, MD, who leads the medical urology segment at Cleveland Clinic Foundation, tells WebMD. “The primary thing [doctors] need to do may be a exceptionally good cancer operation. Cancers are being found early enough that in many cases it is conceivable to save both nerves, or at slightest one.”

The new study, which appears within the November Diary of Urology, was completed by physicians at Baylor College of Medication in Houston. It included about 80 men who ranged in age from 47 to 76 years old. All were prescribed Viagra following prostate removal surgery. Based on their responses to a arrangement of questionnaires, 53% had moved forward erections and 40% had progressed ability to have intercut.

Among those with nerves spared on both sides of the prostate, almost 60% had made strides erections and about 45% detailed advancement in their capacity to have intercourse. Of men who had nerves saved on one side of the prostate, near to 40% had enhancement of their ability to have intercourse. For men with no nerves saved, the reported increase in erections dropped to 20%, with only 10% noticing an enhancement within the ability to have intercourse.

At least one side impact each was experienced by 63% of the men, most commonly flushing, migraine, nasal clog, and acid reflux.

Brian Miles, MD, one of the think about authors, called the results “satisfying” and noted that the discoveries indicate patients ought to begin on the pharmaceutical around six months after surgery. He tells WebMD that he has had victory with nerve transfers that involve embedding a leg nerve in the pelvis, which can help keep up typical erectile work.

These findings confirm past think about comes about and put a greater spotlight on the prostate surgery itself, says Lakin, who was not involved in this study but has been part of nearly indistinguishable ponders that delivered comparable results. “I am not a specialist. I bargain basically with sexual dysfunction. But where I think this [ponder] will have the foremost impact is in causing doctors to pay more consideration to nerve saving,” he says.

Lakin says that he commonly prescribes Viagra taking after surgery for prostate cancer since other alternatives are more obtrusive. “Tragically, it’s exceptionally difficult not to offer a quiet a pill even on the off chance that their nerves have been cut, but I am very genuine with them. And if they call and say it didn’t work, we go on from there.”

On the off chance that Viagra fails, physicians can recommend other options, including infusions and vacuum devices, both of which have great success rates, even among men whose nerves were damaged, agreeing to Lakin.

Crucial Information: Viagra is an viable treatment for impotency in men who have their prostate expelled. For men whose nerves have been saved, the drug progresses the ability to have an erection by nearly 60%, but the adequacy drops to 20% in those with no nerves spared. There are other alternatives for men who do not respond to Viagra, counting infusions and vacuum devices.

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