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Prostate cancer treatments and ED

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Explore your ED options post prostate cancer treatments.

Prostate cancer itself will not cause erectile dysfunction (ED). However, treatment options like radical prostatectomy and radiation therapy may affect erections by damaging nerves or preventing blood flow.1,2

Sometimes ED related to prostate cancer treatment is temporary and will diminish over time. However, many guys experience ongoing difficulties that need to be addressed by other means.3

1 in 5 men
are unhappy with their functional results after a prostatectomy, likely due to sexual dysfunction4
After a prostatectomy 47 percent
of patients experience moderate to severe ED1
Within 5 years of radiation therapy, about 50 percent
of patients could develop radiation-induced ED2

Prostate cancer treatments & ED

Committing to a prostate cancer treatment can feel overwhelming, especially if it may cause erectile dysfunction. In this insightful video, Dr. Jay Simhan highlights the vital importance of prostate cancer treatments and how attainable ED solutions are after cancer.

Finding the right ED treatment option

As a prostate cancer survivor, you may have ED as a result of your treatment. You don’t have to live with this side effect.3 Learn about the available treatment options, then speak with your physician about the right ED treatment options for you following prostate cancer treatments.

Prostate cancer and stress urinary incontinence

Stress Urinary Incontinence (SUI) can occur after prostate surgery, such as a prostatectomy, or radiation therapy for prostate cancer. Post prostatectomy, approximately 36% of patients will experience urinary incontinence.1

Stress urinary incontinence can interfere with your activities and intrude on your life, but incontinence is treatable after treatments following prostate cancer.

Connect with someone who’s been through it

Tony is a Patient Educator who experienced ED after a radical prostatectomy. He has faced similar challenges to yours – and he’s ready to share his experience with you.

Find a specialist

Explore our physician directory to find a local qualified urologist who specializes in men’s health and ED. They can answer your questions, explain your treatment options, and help you take the next step toward restoring your health and reclaiming control.

References

1 Tsikis ST, Nottingham CU, Faris SF. The Relationship Between Incontinence and Erectile Dysfunction After Robotic Prostatectomy: Are They Mutually Exclusive? J Sex Med. 2017 Oct;14(10):1241-1247.

2 Mahmood J, Shamah AA, Creed TM, Pavlovic R, Matsui H, Kimura M, Molitoris J, Shukla H, Jackson I, Vujaskovic Z. Radiation-induced erectile dysfunction: Recent advances and future directions. Adv Radiat Oncol. 2016 Jun 3;1(3):161-169.

3 Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, Heidelbaugh J, Khera M, McVary KT, Miner MM, Nelson CJ, Sadeghi-Nejad H, Seftel AD, Shindel AW. Erectile Dysfunction: AUA Guideline. J Urol. 2018 Sep;200(3):633-641.​

4 Schout B, Meuleman EJ. Erectiestoornis en incontinentie na prostatectomie. Behandeling van complicaties van chirurgie bij prostaatkanker [Erectile dysfunction and incontinence after prostatectomy. Treating the complications of surgery for prostate cancer]. Ned Tijdschr Geneeskd. 2012;156(44):A4667. Dutch.

PM-33077

Important safety information
Titan® & Titan Touch Inflatable Penile Prosthesis

The Titan Inflatable Penile Prosthesis is a surgically implanted mechanical penile implant intended for the treatment of erectile dysfunction in men. The Titan implant is a 3-piece fluid-filled system manually operated to produce and sustain an erection for sexual intercourse.

Indications

The Titan Inflatable Penile Prosthesis is indicated for male patients with erectile dysfunction who are considered to be candidates for implantation of a penile prosthesis.

Contraindications

The Titan implant is not for use in patients who have one or more of the following conditions: 1) have an active infection, particularly urinary tract or genital infection, 2) are sensitive or allergic to silicone or polyurethane, 3) have ongoing difficulty urinating or emptying the bladder (e.g., bladder outlet obstruction or neurogenic bladder), or 4) unwilling to undergo any further surgery for device revision.

Warnings

Patients should consider the warnings, precautions and potential complications associated with the use of this product, which may include the following: potential for resurgery (note: device is not a lifetime implant). Implantation makes latent natural erections, as well as other interventional treatment options, impossible. Implantation may result in penile shortening, curvature or scarring. Pre-existing abdominal or penile scarring or contracture may make surgical implantation more complicated or impractical. Diabetic, as well as immunocompromised patients, may have an increased risk of infection which could result in permanent damage to tissue/organs. Excessive stresses from rigorous exercise and vigorous masturbation/intercourse could lead to device damage. Certain stresses and pressures (straddle seating, obesity, etc.) could lead to involuntary inflation or deflation. Post-implant penile size, girth and angle can vary based on patient anatomy, implant size, level of inflation, and presence of Peyronie’s disease.

Precautions

Patients with spinal cord injury may have an increased risk of infection. This device may be used to treat erectile dysfunction in the presence of Peyronie’s disease. Although the implant is not visible, depending on the placement (submuscular) the reservoir may be palpable.

Patients should consider the following factors which could lead to increased risk of failure and can be critical to the eventual success of the procedure: ability and willingness of the patient to follow instructions; associated psychological status (e.g., psychogenic erectile dysfunction, inappropriate attitude or motivation); health conditions which hamper sexual activity (such as severe angina) may prevent successful use of this device; manual dexterity problems; and lack sufficient manual dexterity or strength necessary to operate the device.

Impact injuries to the pelvic or abdominal areas (e.g., sports injuries) can result in damage to the implant which may necessitate replacement of the device. Contracture of tissue around the pump can cause unnatural firmness in the scrotum and involuntary inflation or deflation. The device may fail to deflate and/or deflation of the device may be slow or difficult for some patients. Device malfunctions may result in the inability to inflate or deflate the device. Removal of the device without timely reimplantation of a new implant may complicate subsequent reimplantation.

Potential Complications

Adverse events are known to occur with penile protheses procedures and implants; some may require revision surgery or removal of the implant. Adverse events following penile protheses implantation may be new onset (de novo), persistent, worsening, transient, or permanent.

Adverse events may include but are not limited to: inability to pull foreskin back from tip of uncircumcised penis (acquired phimosis); abnormal wound healing/adhesion/scar tissue; bladder storage symptoms/urinary retention; tightening, shortening, deformity or curvature of penis (capsular contracture, induration); discomfort/pain; injury to tissue or organs (perforation/erosion/extrusion) resulting in damage or loss of tissue (necrosis); open tunnel between tissue or organs (fistula); foreign body reaction/allergic reaction/sensitivity; bleeding/hemorrhage or collection of blood or fluid outside of tissue or vessels (hematoma/seroma); hernia; Infection/urinary tract infection; redness or swelling (inflammation/edema); difficult or painful intercourse (dyspareunia/sexual dysfunction); obstruction/occlusion; numbness or decreased sensation (e.g., hypoesthesia); and urinary incontinence. The occurrence of these events may require one or more subsequent surgeries which may or may not always fully correct the complication.

This treatment is prescribed by your physician. Discuss the treatment options with your physician to understand the risks and benefits of the various options to determine if an inflatable penile implant is right for you.

Caution: Federal law (USA) restricts this device to sale by or on the order of a physician.

PM-15451 / Feb 2024