Statistically prostate cancer is the most common type of cancer in men and it’s the second leading cause of death. This makes surgery the preferred option to saving your life if you are younger, but it’s less often chosen because, once surgeons start waving sharp knives “down there”, the chances of sexual dysfunction afterwards are relatively high. Even though the introduction of robots for the radical prostatectomy has reduced the risks of erectile dysfunction, younger men remain unwilling to take the chance even though the risks of death grow high as time passes without treatment.
The problem may be stated simply. No matter whether it’s a human surgeon or a robot holding the knife, once muscles or nerves are cut, they often do not regrow making some degree of erectile dysfunction likely. This has led to the development of penile rehabilitation techniques including the use of PDE5 inhibitors such as Cialis to stimulate the tissues and muscles back into active life. However, all this will fail unless sufficient nerves remain functional. In the final analysis, penile prosthetics are available.
Studies
There have been a number of studies using the erectile dysfunction drugs as part of a coordinated regime to restore sexual function. But some men find there’s a loss of libido, i.e. the psychological consequences of the diagnosis of cancer and the surgery undermine confidence and impact sexual desire. Even with counseling and cognitive behavioral therapy, many men never recover any real level of sexual desire. In older men, this outcome is less serious. But with diagnostic methods improving, many younger men are being given the cancer diagnosis early. If they have the operation and lose libido, this is significantly more damaging in psychological terms. Unfortunately, Cialis pills as well as any other ED drug is of no use in such circumstances. Men have to have a sufficient level of desire to induce the erection. Current research is focusing on the use of counseling early in the process leading up to surgery. If men can be prepared for the consequences to surgery, they can take a more positive view during the penile rehabilitation regime.
Cialis is being studied as part of a coordinated regime to restore sexual function after prostate surgery