The majority of men who have had a radical prostatectomy will have ED for at least a limited period, and some will have permanent problems that are resistant to oral therapies. They present a particularly challenging group to treat, and management strategies are still evolving.
The likelihood of a man experiencing post-radical prostatectomy ED is influenced by his pre-operative potency, his age (ED is more likely if over 65), and the achievement of intra-operative nerve preservation (ED is more likely if one or both cavernous nerves are sacrificed), Pre-operative counseling about sexual and erectile function should be included in the routine care of men facing radical prostatectomy, and it is preferable to involve their partners too. Read the rest of this entry »

Individuals and couples will have their own preference for a particular therapy, as it may suit their own sexual lifestyle. The majority of men will select a PDE5 inhibitor as their first treat’ ment of choice. Although the three currently available drugs in this class share a common mode of action, there are subtle pharmacO’ kinetic differences among them that may be of importance to the couple that is unrecognized by the physician. Read the rest of this entry »