Side effects of treatments: Impotence 

Impotence



Impotence (problems with erections) is a common long-term unwanted side effect of radical prostatectomy and hormone treatment (more than 40% of people treated), and sometimes it follows other treatments such as external beam radiation and brachytherapy. Occasionally it occurs when symptoms are alleviated using transurethral resection. All of the men interviewed who had undergone radical prostatectomy reported some degree of impotence, but their experiences varied. They tried practical ways to help them overcome their problem, some with more success than others. 

 

 

Men who received hormones or a combination of hormone treatment and radiotherapy also described how treatment had affected their sex lives. A man who had had brachytherapy said that his operation had led to impotence and another man described how treatment of his symptoms by transurethral resection had led to some change in his sex life.

 

 

Newer surgical procedures and treatments such as robot-assisted laparoscopic radical prostatectomy, and HIFU are reported to cause less erectile dysfunction and incontinence than radical surgery.

 

For more information on how to deal with sexual problem/ erection difficulties see Macmillan Cancer Support's website.
 
 
Last reviewed January 2012
Last updated January 2012

 

Karol Sikora - Prostate cancer
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