Erectile dysfunction that occurs in a patient with cancer or other severe disease, often has both physical and psychological causes.
Probably the patient will have anxiety related to the disease and why he holds his future and anxiety often contributes to the development of erectile dysfunction. Revealing anxieties and discussing them is part of the erectile dysfunction treatment in Rohini in the cancer patient.
Two types of cancer are more likely to be associated with erectile dysfunction:
- prostate cancer;
- rectal cancer.
Most commonly the treatments for this type of cancer cause erectile dysfunction, and not the cancer itself, says sexologist in Rohini.
The prostate is located under the bladder, and its function is to produce a fluid that enters the sperm composition.
Through the middle of the prostate passes the urethra from the bladder outwards. This means that the conditions of the prostate also cause disorders of the bladder.
Prostate cancer is now the most common cancer of the man, and its incidence is increasing. Partly this is because men now live longer, and prostate cancer has always been more common in older men.
There are many types of prostate cancer treatment. The type used in a particular patient depends on the stage of the disease.
A treatment with curative potential, radical prostatectomy is the operation of removal of the prostate gland performed by urologist in Pitampura.
However, the intervention has a high risk of affecting the nerves that serve the functioning of the penis, thus leading to the appearance of erectile dysfunction.
It is difficult to assess the percentage of men suffering from erectile dysfunction as a result of this operation because the results published in the medical literature vary widely – from under 10% to over 90%.
The risk of erectile dysfunction is reduced if a nerve salvage technique is used during the operation. In the case of this technique, the best urologist in Pitampura makes a special effort to identify the nerve threads that serve the penis and are found in the prostate. Erectile dysfunction treatment in Pitampura may be effective in men who have undergone radical prostatectomy.
Oral therapy (tablets) appears to be less effective in men who have not benefited from nerve sparing during surgery. It may be necessary to try several treatments until the most suitable one is found, suggests sexologist in Pitampura.
Transurethral resection of the prostate
Some patients with poorer health or more advanced cancer will undergo less destructive surgery, called transurethral resection of the prostate (RTU).
The goal is to improve the symptoms of bladder and improve urinary flow, and less “cure” cancer by complete removal of the prostate, says urologist in Delhi.
In the case of this intervention, the nerves are rarely affected and the standard erectile dysfunction treatment in Delhi work very well. (Note that RTP is a common and effective form of treatment for enlargement of the prostate due to non-cancerous causes. This increase in benign prostate volume occurs frequently in men from middle age.)
Non-surgical treatments for prostate cancer
Some non-surgical treatments for prostate cancer can cause erectile dysfunction and decreased libido, warns sexologist in Delhi.
Leuprorelin and goserelin are injections used to suppress prostate cancer by interfering with testosterone production.
Casodex is a tablet that cancels the effects of testosterone on different tissues. All have the potential to cause erectile dysfunction and loss of sexual desire, and the least affecting is Casodex.
Colon cancer is another common form of cancer. If diagnosed early it can have a very good evolution.
The gut is very long. It is usually possible to remove the section that was affected by cancer and then suture the two ends to restore the intestinal lumen. This avoids the use of a pouch or a “stoma” in the intestinal wall.
The main exception is when the cancer appears in the lower part of the intestine – a few centimeters from the anus. In this case, there may not be enough healthy bowel below the cancer level to allow the surgeon to suture the two ends. Thus stoma is necessary.
Lower colon cancer means that it is almost impossible for the surgeon to avoid damaging nerves to be found in this region – nerves that serve the penis are included in this category. Erectile dysfunction may be a consequence of this surgery.
However, as with prostate cancer, standard treatment for erectile dysfunction can be effective once it has been chosen according to the individual, says sexologist in Delhi.
Although there are hundreds of different cancers, and major steps have been taken to treat their majority, most people are afraid of this diagnosis.
Once the diagnosis and therapeutic behavior have been established, many patients find that the situation is not as bad as it initially seemed. Even so, the impact of the disease on the individual and his family cannot be denied.
The situation is frequent when cancer patients channel all their concerns to investigations and treatment of such intensity that everything else becomes secondary.
Studies show that after the diagnosis of cancer, things like sexual functioning do not get much attention at all – sometimes the patient is no longer paying attention to the appearance, sometimes it comes from the medical staff involved in the treatment.
This is not due to the notion that sexual activity is not considered important, but because the aspect is omitted among other things that become priority.
Cancer can be a scary disease until it is fully understood the effect it will have on the patient’s life. During this initial period of anxiety, the patient will have little desire for sexual activity. Other people may respond differently, finding that the intimacy offered by the sexual activity gives them the necessary comfort in such a difficult period. It is possible that once the treatment is instituted, the desire for sexual activity to return, says the best urologist in Delhi.
Any serious illness can cause anxiety and insecurity.
Regarding sexual activity, there may be fears that:
- sexual activity may cause physical injury;
- sexual activity can cause the disease to reappear;
- cancer it can be contagious or sexually transmitted.
These concerns are without real basis, but can lead to couple problems.
It is vital for couples who are experiencing such difficulties to discuss these concerns with each other, and with the best sexologist in Delhi.
Usually a reassurance that everything will be fine is enough, but sometimes the couple can benefit from consulting a psychotherapist who specializes in psychosexual medicine.
Can sexual activity be dangerous in the cancer patient? Almost never. Except in situations where cancer affects the genital area, there is usually no reason for the patient not to have sexual activity, but even when the cancer is located genital it should not be a problem. Above should be checked with the urologist in Delhi, there are very few people for whom sexual activity can lead to health damage.
Cancer and fertility
It is important for patients to be informed about the disease and its short- and long-term consequences, including the possible impact on sexual life and fertility.
In recent years there are patients who are cancer patients who have chosen to freeze eggs or sperm as an insurance against the conception difficulties that could result from cancer treatment. This raises a lot of discussion, especially regarding its ethical issues, but it may become an increasingly common practice.