PCRI’s Executive Director, Mark Scholz, MD, talks about the four ways that impotence can be managed after prostate cancer therapy. He gives an overview of pills, pumps, injections, and implants to counteract impotence.
Learn more pills, penile injection vacuum pumps, and more with Dr. Stephen Auerbach and Dr. Mark Moyad: https://www.youtube.com/watch?v=qFMbYrT0nEU
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0:29 Viagra, Cialis, Levitra, and Stendra, are all oral medications that can help men get erections after prostate cancer treatment, and they tend to work in most people. They do sometimes have side effects, such as a stuffy nose, headaches, changes in vision, or low blood pressure depending on other medications that a man may be taking.
1:27 Options If Pills Do Not Work. One option is a vacuum erection device. This is a device that uses vacuum pressure to draw blood into the penis, which is then held in place with an elastic band at the base of the penis. This is effective for many men, but it can be a cumbersome process, and thus is less likely to be used.
2:25 Penile Injections. Injection therapy is highly effective for getting serviceable erections for men in whom pills don’t work. The process involves injecting the medicine directly into the side of the penis with a small needle. If men can tolerate the needle, and the process of self-injection, it is easier to implement than a VED. It is important to find a good urologist who is well versed in training men to use injection therapy. With proper instruction, injection therapy can restore erections to pretty much any man.
3:34 MUSE. If men cannot tolerate needles and injection therapy, there is another option that works very well in a small percentage of men. MUSE is a little pellet that is inserted into the urethra. Experts say that men who can get partial erections on a pill, are likely to have good results with MUSE.
4:28 Penile Prosthesis. For men who don’t get results with any of the previous options can consider a prosthetic implant into the penis. Generally, the majority of people who undergo the procedure are satisfied with the results. This is an involved operation, so if one is considering going this route, they will want to find a urologist who is an expert in this procedure.
5:28 Summary. Doctors take a stepwise approach to dealing with incontinence, beginning with pills, moving on to VEDs and injection therapy, and on to penile implants.
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Take between 30 and 60 minutes (and up to 4 hours) before sex; works for about 4 hoursRecommended dose for most men is 50mgs; after that, dosage may go to as high as 100mg, or as low as 25mg, which may be prescribed for men over 65.Quickly absorbed by the body, less effective after a high-fat meal, and best taken on an empty stomach. Erectile Dysfunction Drugs Comparison Chart Compare Viagra, Cialis, Levitra
Take 1 hour before sex; works for 4 to 5 hours, and may be slightly more effective than ViagraStarting dose for most men is 10mgs a day, but men over 65 often start on the 5mg pill.Can be taken with or without food, although slightly less effective after a high-fat meal. Avoid anything containing grapefruit juice; it may make side effects worse. Cialis New Viagra for femalesAchat Cialis sans ordonnanceWhat if a woman took CialisGeneric Cialis cheapest priceBuy Viagra for cheapHow does Viagra worksViagra delivery UKCialis works goodFree Viagra order online Comes in two forms. The daily pill stays effective in between doses, but may take 4 to 5 days before it begins working. The “weekender” version of Cialis can start working in as little as 30 minutes for men who take the highest dose of the drug (20mgs); it stays effective in the body for up for 36 hours.Daily pill comes in both a 2.5mg and 5mg tablet; most men start with the lower dose. The use-as-needed, “weekender” pill comes in 5, 10 and 20mg strengths; recommended starting dose is 10mg,Can be taken with or without food. Avoid heavy drinking (5 glasses of wine or 5 shots of whiskey); when combined with Cialis, it can lead to headaches, dizziness, an increase in heart rate, and a drop in blood pressure.