Is ED after radiation without ADT permanent?

Posted by nicholasn @nicholasn, Jul 9, 2023

I was watching Dr Scholz (PCRI) speak about RT and he briefly mentioned that men who experienced ED up to 2 years after treatment, would have the condition permanently.
I’m 69, Gleason (3+4) in 3/12 samples, PSA 3.6 with a palpable nodule on the right side. Still waiting on Decipher, MRI…. I was considering PT therapy as a possible option, but thought ED would be a temporary side effect,
I’m hoping that someone would be willing to share their experience.
Thank you,

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The following is a quote from the below link.
https://pubmed.ncbi.nlm.nih.gov/24295963/#:~:text=Conclusions%3A%20Rates%20of%20ED%20requiring%20medical%20intervention%20for,with%20medication%20use%20at%203%20years%20following%20treatment.
The Conclusions: Rates of ED requiring medical intervention for both IG-IMRT and HDR are low and equivalent. Even patients with ED before treatment are likely to maintain potency with medication use at 3 years following treatment."
Hope this helps with your decision.

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@ozelli

I just finished PT 10 days ago and erections are pretty much like before. Ejaculations are not painful but neither are they pleasurable. Bit hard to explain but somewhere in between.

ED after radiation is primarily a function of age, prior sexual health and adjunct hormone treatment. If the answer to those 3 questions are: under 65, good wood and radiation only, you are probably looking at favorable outcomes.

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Ejaculations?
I was treated 3 years ago twenty proton treatments and six months of Lupron. While I can orgasm there is no ejaculate. I thought this is typical of all after PC treatment.

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Thank you everyone, those were helpful posts.

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