Any book or info suggestions about sexual health after prostatectomy?

This is not clickbait or just titles —> This 2023 presentation out of Stanford University might provide you some ideas to discuss with your medical team —> “Penile Rehab: Optimizing Recovery of Erectile Function after Prostate Cancer Treatment” —>

Good luck.

Will check it out, thanks a bunch!

UCSF has reasonable information about "Penile Rehabilitation Therapy. "PRT."
https://www.ucsfhealth.org/conditions/erectile-dysfunction
I am nearing the 12 year point since my diagnosis.

My surgery was nerve sparing. I've done done ADT twice, when I did SRT my radiologist had me sign on the dotted line acknowledging the risk of ED by "frying" the nerves.

My only PRY, a daily 5 mg Cialis and self stimulation. Even when on ADT I did not lose my libido not function, ability to achieve an erection and orgasm.

So, likely I'm an outlier, much to my wife's dismay...!

It was about a year after surgery before I could say " recovered." It's different though, dry orgasm, greater stimulation, both physical and mental. Both to achieve an erection and orgasm.

At the heart of PRT, at least for me is "use it or lose it."

So, PRT seems to follow the "step" approach, start with, progress to.

You can search this forum for conversations on this subject that take the details of PRT to a whole nother level...'

Kevin

Here are few different resources from Mayo Clinic

Professional podcast
- Mayo Clinic Talks: Prostate Cancer and Men's Health Edition https://ce.mayo.edu/online-education/content/mayo-clinic-talks-prostate-cancer-and-mens-health-edition (See Episode 4: Prostate Cancer and Sexual Health)

- Man Overboard (book) https://mcpress.mayoclinic.org/product/man-overboard/
- Mayo Clinic on Prostate Health, 3rd Edition (book) https://mcpress.mayoclinic.org/product/mayo-clinic-on-prostate-health-3rd-edition/

Mayo Clinic Q&A podcast: Sexual health after cancer treatment

Dr. John Mulhall, the men's sexual health expert at Memorial Sloan Kettering, has an encyclopedic book on the subject. Please google his name for the title. If close to New York City, consider getting an appointment with him.

@bwjb The book is called "Saving Your Sex Life: A Guide for Men with Prostate Cancer." It's slightly dated but contains a lot of useful information. He's the sexual health doctor I've been seeing for more than a year now and has helped me tremendously. He's also a real straight shooter and tells it like it is--definitely not like my oncologist who downplayed the sexual SE's of treatment.

He stresses the importance of beginning sexual rehab AS SOON AS POSSIBLE after surgery or radiation. If you wait too long sexual problems become much harder to treat. He also compiles data from more than 15,000 men who've had treatment for prostate cancer so is on the cutting edge in a lot of areas.

@scottbeammeup
I will definitely read this, once I can get my hands on it. Used copies seem to be in short supply. I have already begun sexual rehab - using a pump several times a week, taking tadifil (I upped the dosage to 20 mg), and I have been doing kegel exercises since before my surgery in early june. Any nuggets of wisdom you can pass along until I get myself a copy? Thanks!

@bwjb thanks!

@colleenyoung
Thanks for posting those SUPER useful videos!

@kujhawk1978

Thanks Kevin. I am definitely going to keep at my PRT. So far it is going well, I just have to be patient, I suppose