Subject: TESTICULAR CANCER & IMPOTENCE
Topic Area: Testicular Cancer
Forum: The Urology Forum
The initial problem was described in the woman's letter:
My husband had testicular cancer 1 year ago where they removed a malignant tumor and a testicle.About half a year ago, we noticed that he was unable to maintain an erection, thus erectile dysfunction appeared. His urologist prescribed an anti-depressant & some other medication. But the fact is that he cannot take these medicines legally,
because they would produce false-positive narcotics during drug testing. Thus, he may lose his job if such a random test occurs. Recently, we have tried Muse injection, but it did not help. I have heard that there must be some new medicines which you can take
orally. Is it true?What is it called and when will it be available? But in case you have some other offers and suggestions, it will be helpful for us.
The answer to this letter is:
Provided that testosterone production was not affected in course of treatment, it is doubtful that this treatment caused erectile
dysfunction. Of course, you should take into account emotional factor too. First of all, your husband should consult his doctor for
the level of hormones, liver function, renal function and blood sugar levels. Alongside, full physical examination will help to
define the cause of impotence. Nocturnal penile tumescence testing and possibly a formal emotional evaluation by a sex therapist may
be required.
Erectile dysfunction may be treated in several ways. The most none invasive is the pump is the vacuum erection device (VED). This
cylinder is placed over the penis and helps it fill with blood by creating a vacuum. A comfortable band is used at the base of the
penis to keep the blood trapped in. Some other option is Muse, which goes up to 1000 mcg dose. If it does not help, you should try a
higher dose before giving up this kind of therapy. They also have a tourniquet that keeps the medicine in the penis. Inject able
agents are very effective with minimal pain for most and are fairly easy in usage.
Also, there are some other medicines, like Viagra, for example. Some new ones will appear in the nearest future. There is also a
surgical option which involves placing a device in his penis to allow him to obtain erections. But we do not think it is needed. The
question is in the cause of erectile dysfunction and depending on this, his scheduled visits to the doctor and tests regarding the
cancer, the patient will know if his penis will regain erectile function.
You may have found some useful information here, but it is necessary for you to consult the doctor and define thee real cause and
needed treatment.
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ESTICULAR CANCER & IMPOTENCE
