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Today’s newsletter is a story about how men can save their sexual health.
Sexual side effects of prostatectomy deprive men of their sex lives.
Prostate cancer and sex don’t seem to go together.
But it doesn’t have to be this way.
Men can be enjoying the sexual pleasures that they live for, for the rest of their lives.
It’s also going to touch on how penile fibrosis gets started and what makes it so bad.
Many men are getting prostate surgery, including prostatectomies.
And they’re not really understanding that this is going to hurt their sex life for years.
Sometimes the damage is even permanent, and they have issues for the rest of their life.
Worst yet, it doesn’t have to be that way.
I believe that much of the treatment of prostate cancer today serves big Pharma and big medicine.
It’s totally unnecessary.
And I also believe that if men knew what really was in store for them, they would not jump into prostate surgery.
Today’s study is a review study from the famous Cleveland Clinic.
It shows what happens with men get their prostates removed and what they have to look forward to.
Let’s break this down.
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The study starts by explaining that 40% to 86% of men may experience little or no sexual ability following this surgery.
There is a high rate of impotence after prostatectomy.
I’m going to take a little detour into another study on the same subject.
It shows how well men are doing in five years time after the diagnosis of prostate cancer and treatment:
Just to help you read this, take a look at vacuum erection device on the first line.
That means that ability to have an erection will be 21% of normal with this device.
68% sexual frequency meaning only 68% of what is normal.
Erection maintenance of 24%, meaning 24% of what is normal.
And this is after five years.
You can see how poor the outcomes really are.
And this across the board for all of the different forms of recovery after prostate surgery.
Erections after prostate cancer are just not common.
It is not a pretty picture.
I have hundreds of emails from men who have had surgery many years ago, still have not recovered in the least.
It’s a tragedy.
But let’s let that go for now.
The study continues:
Lack of natural erections during this period of time produces cavernosal hypoxia.
Cavernosal hypoxia means that the penile tissue where “rockiness” happens is not getting enough oxygen.
The result is explained here:
Prolonged periods of cavernosal hypoxia induce fibrosis, which later increases the incidence of venous leak.
Many men complain that they’re not getting good full rigid erections.
The problem is that they have leaky valves, so the blood cannot build up in the penis.
It just keeps flowing back into the body.
This review study explains that one thing leads to another.
Lack of erections leads to low oxygen levels in the penile tissue.
This low oxygen creates scar-like fibrosis tissue that is like a tangled up scar.
And this fibrosis keeps the valve from functioning the way it should.
I wish I could say that this gives hope here in this particular review study, but it doesn’t.
The best that big Pharma and medicine have been able to come up with is to suggest direct injections into the penile tissue.
Or they use the PDE5 inhibitors such as Viagra, Cialis, Levitra.
The idea is that these will somehow prevent the fibrosis from setting in.
But it doesn’t work that way.
None of these is any solution all.
They increase nitric oxide levels in the penile tissue, which actually increases fibrosis.
In the long run, they just make things worse.
There are solutions to this problem.
But it starts with treating prostate cancer in a much less aggressive way.
A lot of prostate tumors will spontaneously get better.
Many of them will sit for the rest of a man’s life and will never cause any problems.
Most men are aggressively over treated with the frequent result being a lifetime of impotence.
If you do choose prostate surgery, be aware that this may affect you for many years — or even the rest of your life.
And also be aware that there may be much better options than aggressive treatment.
The minute people hear the dreaded “C” word, they shut down.
They react reflexively and say, “let’s just take it out.”
And taking the prostate out may be the worst choice of all.
http://www.nature.com/ijir/journal/v20/n2/abs/3901573a.html
TREATMENT OF ERECTILE DYSFUNCTION FOLLOWING THERAPY FOR CLINICALLY LOCALIZED PROSTATE CANCER:
PATIENT REPORTED USE AND OUTCOMES FROM THE SURVEILLANCE, EPIDEMIOLOGY, AND END RESULTS PROSTATE CANCER OUTCOMES STUDY
http://www.jurology.com/article/S0022-5347(01)68345-9/fulltext
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