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Save Your Sex Life After  

Prostate Cancer Research Institute
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1:44 "It takes 50 years to get a wrong idea out of medicine"
2:25 Adrenaline is the most potent anti-erection chemical
3:35 Achieving optimal outcomes
4:04 The word cancer is scary
5:45 Barriers to optimal sexual outcomes
10:45 Realistic expectations
13:09 Cause of ED
21:28 Radical Prostatectomy things to remember
25:50 RP-Sexual Incontinence
27:22 RP-Penile Length Loss
28:56 Radiation
32:21 ADT
35:38 Obsessive Oncocentricity - absolute focus on cancer outcome
37:08 Is Active Surveillance an option?
37:47 How important is your future sex life?
38:49 What is "erectile function preservation/recovery"
39:58 Get realistic expectations
43:53 If you have ED before treatment
44:36 Open vs. Robotic surgery outcomes
45:20 Physical experience key to success
47:25 Penile Rehabilitation
49:43 Sexual function outcomes between different modalities
51:13 Testosterone deficient with ADT
52:08 Erection pills
55:14 Penile injection
56:50 Triple therapy
57:07 Testosterone levels
58:51 Restorative therapies
59:57 Words of advice for partners
1:00:51 Q & A with Dr. Moyad
1:05:58 Journal of Sexual Medicine
1:06:58 Saving your sex life
1:08:55 Sexual Medicine Society of North America
1:10:55 Being careful as a consumer using the internet as a resource
1:11:29 Lifestyles
1:12:28 What's good for your heart is good for your penis
1:14:41 ED is a harbinger of cardiovascular disease
1:16:55 Adrenaline is the worlds most potent anti-erection chemical
1:18:26 Alcohol
1:20:18 Marijuana
1:21:39 Over the counter space
1:28:08 Penile rehabilaitation
1:40:40 Sex drive issues
1:42:42 Neurovascular bundles
1:49:04 Shockwave therapy
1:53:01 Testosterone replacement
1:58:03 Perone's disease
Don't know your stage? Take the quiz: visit www.prostatecancerstaging.org
To learn more about prostate cancer, visit www.pcri.org
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Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website at pcri.org or contact our free helpline with any questions that you have at pcri.org/helpline. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

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7 ноя 2023

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Комментарии : 35   
@mahlerbech5743
@mahlerbech5743 7 месяцев назад
So informative, I have just finished (August) 4 weeks radiation and hormone treatment for my prostate cancer, I really wish you had do this before, everybody with a prostate cancer should see this before deciding on treatment.
@MrGuitar1458
@MrGuitar1458 7 месяцев назад
I first saw one of Dr. Mulhall's older videos a year or so ago and was immediately impressed by his vast knowledge, his straightforward manner and his obvious compassion for his patients. All of his wisdom and expertise are here. If I am ever in need of sexual medicine services, he will be my first choice for a provider.
@derrickdoles232
@derrickdoles232 4 месяца назад
Perhaps the best video I've seen dealing with prostate cancer and sex.
@Obaerik
@Obaerik 6 месяцев назад
Amazing talk! Urologist, this video should be playing in the waiting room on loop!
@spitfirekid1
@spitfirekid1 7 месяцев назад
I had focal brachytherapy in 2020. I’m 68 and I don’t have ED or any issues with incontinence.
@dennism8221
@dennism8221 7 месяцев назад
great talk, wish I knew this before my RP.
@toddhupp
@toddhupp 5 месяцев назад
excellent presentation,very beneficial for me
@jarettcron8894
@jarettcron8894 4 месяца назад
This is very encouraging information. Useful education. Now I know I have options. Thank You for this!!!
@pdodge3689
@pdodge3689 6 месяцев назад
This is an amazing talk. Would you PLEASE POST THE SLIDE on penile rehab pathway discussed?
@notsofasted3094
@notsofasted3094 7 месяцев назад
Grand Man! What a Tour de Force! With Stage 4 Oligometastatic HSPCa, ADT for over a year plus Enzalutamide and RT, things don't look so rosy but I now think(ish) I know why. This video needs further viewing and digesting slowly....
@nickstrapko7549
@nickstrapko7549 6 месяцев назад
My experience so far is im more worried about the after effects than the surgery or the cancer. I kind of think I should have been geting care for ED before I even received my diagnosis
@notofthisworld5998
@notofthisworld5998 Месяц назад
Regardless of how he colored it, you want the robot over the open prostatectomy. Less abdominopelvic scar tissue, shorter recovery, shorter hospital stay
@roccomeola7335
@roccomeola7335 3 месяца назад
Dr. Mulhall presentation was excellent and help to inform me about taking low-dose PDE five inhibitors to help preserve the muscles in the penis, providing oxygen to the epithelial cells. None of my other doctors discussed this possibility with me as a result, I’ve started to use the PDE 5 inhibitors. prior to my radiation therapy and to help prevent erectile dysfunction. Great presentation!
@gary4451
@gary4451 7 месяцев назад
World class presentation...thanks so very much. I have seen four different doctors from four different medical facilities to gather information on how to address my prostate cancer diagnosis. I have intermediate (4+3) on the Gleason scale. I take copious notes from each visit and I have stressed the importance of maintaining sexual function. Not one of the doctors has mentioned dry ejaculations. I am finding it difficult to get a full and completely accurate explanation of the risks and benefits of the different treatment options. Every week I learn more about treatment side effects that were not presented to me.
@22000beachmom
@22000beachmom 7 месяцев назад
Look into Focal Laser Therapy. It's quite new, not covered by insurance, but has almost no side effects. Hallo's Prostate Laser Center in Houston is a great alternative to traditional 4+3 treatments.
@gary4451
@gary4451 7 месяцев назад
Thanks for the suggestion. @@22000beachmom
@nickstrapko7549
@nickstrapko7549 6 месяцев назад
We should compare notes I am also Gleason 4+3. Email?
@scottwillis5434
@scottwillis5434 3 месяца назад
Whatever you look at, the recurrence rate is important. Keep monitoring!
@monarc78
@monarc78 7 месяцев назад
where can we find the slides on penile rehab pathway?
@painani2007
@painani2007 21 день назад
Where can I find a doctor with a similar clinical orientation as Dr. Mulhall in Mexico City?
@SuperQdaddy
@SuperQdaddy 6 месяцев назад
Sorry ladies the pressure is off...but I can still get off..and no mess..lol😅..your attitude and imagination is king
@jhowze6407
@jhowze6407 3 месяца назад
I had radiation and it went well. But my testosterone has drop below 200 and I have no sex drive. I really need help😢
@colinwilliams9758
@colinwilliams9758 4 месяца назад
I have a question I have a t2 stage gelson 9 I have no cancer in limp nose only in ribs met is that possible
@scottwillis5434
@scottwillis5434 3 месяца назад
Gleason 4+5=9, or 5+4=9? Best to talk to an oncologist. Voice to text doesn't handle medical terminology very well. Did you say "no cancer in lymph nodes, only a metastasis in the ribs"? It all depends. It might be rare, however if the tests show that you have cancer in a rib, I would trust the tests.
@colinwilliams9758
@colinwilliams9758 3 месяца назад
No Metas teas in limp nose only left rib is that possible and stage 2 is that possible
@salamawaad9460
@salamawaad9460 7 месяцев назад
dear sir i got radical prostatectomy due to ca prostate grade 3 no metastasis to lymph node’s or seminal vesicles only one nerve spared befor surgery I was sexually very active l am not diabetic so please my I gain erection again and what is your advice thanks allots
@onieldaniels2927
@onieldaniels2927 7 месяцев назад
I also did this and one year now and no erection
@user-bq6ek7lz7h
@user-bq6ek7lz7h 6 месяцев назад
I believe you choose wrongly in getting the prosectomy but I'm nobody.
@nickstrapko7549
@nickstrapko7549 6 месяцев назад
what was your Gleason
@salamawaad9460
@salamawaad9460 6 месяцев назад
@@nickstrapko7549 Gleason 4+3
@scottwillis5434
@scottwillis5434 3 месяца назад
I would suggest seeing a sexual medicine clinician. Until you can get in, watch Dr. Mulhall's videos for background. Try to do any exercises and see whether you can get any recommended medication (I'd avoid cheap online meds; who knows what is in them, and you already have enough problems).
@DesmondR-cu7bk
@DesmondR-cu7bk 3 месяца назад
Funny, until recently I hadn't realized that Mario updated his favorite way to tackle ED and it's a relief! Although what he previously suggested was pretty good, it was a real pain to follow... I just go'ogled the latest in Mario's Thunderous Erections, it's so much easier and potent now!
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