Effectiveness of medication after prostectomy

  • 7 replies
  • 174 subscribers
  • 293 views

My hubby was 49 when diagnosed,  he was advised a prostectomy,  because of his age they weren't confident whether it would become aggressive or not. Plus by the time he was 70 he would have bladder or bowel cancer. He had a prostectomy in July 25 & results showed a more aggressive cancer, albeit nerve sparing was offered,  some weren't saved. Currently he is on tadalafil 5mg for 3 months,  currently doing penile physio using a pump for 10 minutes a day. He's been advised that he will be prescribed viagra end October,  hes hoping that he will be able to hold an erection without the pump or rings. Anyone have any experience of this that could advise, I do worry about his mental health if this doesn't become possible.  Thank you in advance.

  • I do not have any personal experience of this particular problem, although erectile dysfunction is an almost guaranteed side effect of long term hormone therapy.

    In terms of mental health effects, I am just over 20 years older than your husband and, for other reasons not involving my own health, had come to terms with the lack of penetrative sex before I was diagnosed with prostate cancer. 

    From other posts I have read on here a lot of these problems are solved by trying different drugs or processes, or more to the point, combinations of these things, to reach a process that works. 

    It is likely that, having added a response, your question might be pushed up the queue for people with the experience to help.

    Steve

    Changed, but not diminished.
  • Thank you Steve for your reply, I appreciate it. He is really struggling with this loss of libido and function. I've assured him we will work it out, albeit differently. 

  • Hello  

    Like Steve ( above I still own most of my Prostate (various people have taken bits but I have most of it Grinning) so I can't answer your question in full, however here are a coupe of links that may help - first our guide to erectile dysfunction:

    Erection-problems-sexual-well-being.

    On the Cancer Chat Group there is also a thread that may well help you both in understanding how others - me included - have coped:

     Sex and cancer - Let's talk 

    I do hope the above help and I wish you both well moving forward.

    Best wishes - Brian.

    Community Champion badge

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

    I am a Macmillan volunteer.

  • What makes them say he will get bladder or bowel cancer later on ????

  • Thank you Brian, I will take a look at that Blush

  • If he had had radiotherapy as he is so young, he'd be more susceptible to bowel and/or bladder cancer. . His dad had had radiotherapy for prostate cancer, but died a few years later after he developed ulcerative colitis & died in theatre having his bowel removed. 

  • Hello  

    I hope you don't mind me jumping in here.

    Radiotherapy has now moved on - the newer machines don't even need you to have tattoo's done - they use lasers to ensure an accurate target acquisition.

    I know your husband has already had surgery but if you have time the NICE guidelines for health professionals are here:

    NICE Guidelines Prostate Cancer.

    There are some interesting figures at 1.3.7.

    Aside from the above - I do hope the links in my post above help.

    Best wishes - Brian.

    Community Champion badge

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

    Strength, Courage, Faith, Hope, Defiance, VICTORY.

    I am a Macmillan volunteer.