When you’re diagnosed with prostate cancer at an early stage, usually stage I or II, it means the disease hasn't spread outside your prostate gland. That means you have a few good treatment options to choose from.
It’s important to pick one that’s right for your condition and one that will give you the best quality of life. Talk with your doctor about the benefits and side effects of each type. Ask a lot of questions, so you can find the therapy that will give you the best results, with the fewest...
When, if ever, is something going to be done for the unfortunates like me who suffer from impotence and incontinence after prostate surgery? If I had it to do over, you can bet your life I'd say no. Quality of life is more important than quantity.
I agree, quality of life is absolutely important. Every treatment has potential complications, but the number of complications [with prostate surgery] is decreasing. We're seeing fewer and fewer people with these problems.
There are a number of treatments for impotence. There's a vacuum constriction device, injections of the drug alprostodil, an inflatable penile prosthesis -- available treatments that are well accepted and time-tested. There are also a number of drugs in the pipeline, which show promise -- drugs that are longer-acting and quicker-acting than Viagra.
For incontinence, we can do collagen injections; insertion of artificial urinary sphincters is also a possibility. Again, these are time-tested and well accepted treatments. -- J. Brantley Thrasher, MD, chair of urology at the University of Kansas in Kansas City.
I am a prostate cancer survivor. Based on what I now know, it appears that I did not have the nerve-sparing type of surgery. After 22 months I still don't have complete bladder control and no response to Viagra. Is it possible for those nerves to be regenerated or repaired? My internist has me taking vitamins C and E to help. Are they effective in this area?
It's very unlikely that you will have recovery of function after 22 months. Most recoveries happen in the first year. Late regeneration of nerves is possible but remote. And there's no way to do a correction. [See the previous answer for options.] -- J. Brantley Thrasher, MD, chair of urology at the University of Kansas in Kansas City.