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Monday, January 23, 2017
Urinary Tract Cancers
Post OPerative ED
I am now 5 years Post op radical prostectomy for prostate cancer with PSA <0.1 and have ED. I have minimal reaction to Viagra - Cialis and Levantra have no discernable effect. I use a pump successfully for intercourse. A) Is there any surgical treatment at this time for PO ED? b) Is there any other medical treatment, e.g., can I use testerone now to enhance effects of Viagra on getting a satisfactory erection. c) any other suggestion? Thanks
There is injection therapy available and you should discuss this with your urologist. Also a penile prosthesis can also be placed and this option should be discussed as well. Testosterone may be effective if your testosterone is low but many would be reluctant to place you on the medication because of the history of prostate cancer. Do feel it may be of value to have this determination made. It is a simple blood test.
I hope these thoughts are helpful to you.
Martin I Resnick, MD
Formerly, Professor of Urology
School of Medicine
Case Western Reserve University