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Men with prostate Cancer the Crab commonly wonder how their sex life will do in the wake of their treatment . Now , a new study may give them a more personalized and accurate answer to that question than was before possible .
By occupy into invoice the character ofprostate Crab treatment , as well as factors such as a man ’s old age , whether he go through sexual problem before intervention and whether technique were used during his operation to maintain nerve function , the findings may give Dr. and patient role a better approximation about what to expect after treatment , the researchers said .
Messy, empty bed.
The chance that a man will maintainsexual functionafter discourse varied from less than 10 percent to greater than 70 per centum , depending on his treatment and other personal factors .
" We now have option beyond one - size - fits - all counseling to help men anticipate possible discussion side effects , " said study researcher Dr. Martin Sanda , music director of the Prostate Center at Beth Israel Deaconess Medical Center in Boston .
Doctors can " tailor the expectations for single patient given their specific circumstances , " Sanda read .
The bailiwick will be published tomorrow ( Sept. 21 ) in the Journal of the American Medical Association .
prostate gland Crab and sexual social occasion
Sanda and fellow worker surveyed approximately 3,000 man with prostate Crab , both before discussion and two years after . player answered questions about their calibre of sprightliness , include whether they were able to achieve an erecting that was " firm enough for intercourse . "
The participants had received one of three treatments : surgical removal of the prostate gland ( prostatectomy ) , radiation therapy using an external radiation beam or the implantation of radioactive seeds ( brachytherapy ) .
About 40 percent of those who had their prostate gland gland removed recovered their intimate function , while 58 per centum of men who get external radiation and 63 percentage of men who find brachytherapy recover their social function .
But these phone number employ spacious solidus ; the model produced by the researchers ' data give men a more fine tuned picture , depending on their individual event .
For representative , the probability that a 50 - year - old man who received a prostatectomy would recover intimate function ranged from 6 per centum to 70 percent . Such a man has a 6 percentage opportunity if he had problems achieving erection before his intervention , undergoes non - nerve sparing OR , and has a pretreatment prostate - specific antigen ( PSA ) level over 10 units . Whereas if he had no problem reach an erecting before his treatment , undergoes nervus - part with surgery , and has a PSA level under 10 , the affected role would have a 70 percent chance of achieve erections after prostatectomy .
Overtreatment ?
The findings foreground the fact that prostate gland Crab treatment have significant side issue , said Dr. Andrew Kramer , a urologist at the University of Maryland Medical Center .
" I think it underscores how seriously morbid those treatments are , " Kramer said . " They have fundamental effects on erectile disfunction , " read Kramer , who mention that about one-half of his ED patients have antecedently undergo prostate gland cancer treatment .
The questions postulate in this study may still not give an accurate picture of patients ' calibre of life , Kramer said . The question call for about intimate mapping , but not satisfaction . human beings who are able to achieve erections may still not be felicitous with the quality of their gender life , Kramer tell .
The finding also draw in care to the need to ascertain whether prostate cancer is being overtreated , Kramer said .
" If we ’re save all these guy rope ' lives , that not bad , " Kramer said . " I think ifs it ’s not , we ’ve got to realize how pregnant the outcomes are for erections , because they are significant . "
decease it on : Doctors may be able to give prostate gland genus Cancer affected role a serious idea of whether they will go back sexual function after treatment by using a new exemplar .
