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Does your testosterone/urinary function before a radical prostatectomy (complete prostate removal) for prostate cancer influence your chances of urinary continence and/or erectile dysfunction after a radical prostatectomy?
You have been diagnosed with prostate cancer. You are considering your therapy plan- radiation, ADT, prostatectomy…what questions should you ask your oncologist? What are your priorities?
I am both a cancer survivor and cancer coach. My role is not to be for or against and therapy, my role is to try to present all sides of a given therapy whether it is conventional (FDA approved) or evidence-based non-conventional.
Further, experience and research have taught me that there are dozens of evidence-based therapies that your conventional oncologist may not mention. Pre-habilitation, for instance, has been shown to enhance the cancer patients ability to undergo therapies.
While my own cancer is very different from prostate cancer I have been following the success and complications of prostatectomy for years. Several of my friends have undergone this procedure and I have made it a priority to learn about it in order to outline the pros and cons of this aggressive therapy.
To Learn more about prostatectomy, read the posts linked below-
Have you been diagnosed with PCa? What stage? What therapies are you considering? Please watch the free cancer coaching webinar to the right of this page to learn more.
“The aim of the present study was to evaluate how serum testosterone level (T) can affect urinary continence and erectile function in patients undergoing radical prostatectomy (RP). We included 257 patients with clinically localized prostate cancer, those who had filled out the preoperative quality of life questionnaires (University of California, Los Angeles Prostate Cancer Index, International Index of Erectile Function (IIEF)), and those who had T and total PSA sampled the day before surgery.
We calculated correlations between T and age, body mass index (BMI), PSA, urinary function or bother (UF, UB) and sexual function or bother (SF, SB) and IIEF-5 in the whole population and in sub-populations with normal (⩾10.4 nmol l−1) and low (<10.4 ng ml−1) T using Pearson’s and Spearman’s correlation coefficients…
Finally, a significant result of our study is the strong correlation between urinary symptoms and sexual function in eugonadal (healthily functioning gonads) men, and the lack of this correlation in hypogonadal men…
Moreover, we showed that before RP men with low T presented significantly worse erectile function (lower SF scores) compared with men with normal T, and that T is positively correlated with erectile function when it is >10.4 nmol l−1.
Finally, men with normal T preoperatively presented a strong correlation between their urinary continence and sexual activity…”
“This study was a randomized controlled trial. Pelvic floor muscle exercises were applied to the procedure group three times a day for 6 months. No exercises were applied to the control group. Incontinence and quality-of-life assessments of the 60 patients in the experimental and control groups were performed on months 0 (10 days after removal of the urinary catheter), 1, 3, and 6 through face-to-face and telephone interviews.
Total Incontinence Consultation on Incontinence-Short Form scores, which provide an objective criterion for the evaluation of individuals with incontinence problems, decreased over time. This decrease was statistically highly significant in the third and sixth months.
Pelvic muscle floor exercises are suitable for patients experiencing incontinence after radical prostatectomy.”