Optimizing Sexual Function Outcomes in the Prostate Cancer Patient | Dr. Mulhall (2014)
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- เผยแพร่เมื่อ 28 ก.ย. 2024
- Prostate Cancer Research Institute
2014 Prostate Cancer Patient Conference
Optimizing Sexual Function Outcomes in the Prostate Cancer Patient | Dr. John Mulhall
The information on the Prostate Cancer Research Institute's TH-cam channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #Prostate #JohnMulhallMD
Mulhall is fantastic speaker with essential information. Helping me a lot. Thank you!
Excelente médico conocedor del tema que nadie quiere hablar fácil de entender para el vulgo y en mi caso Radiólogo de 32 años de graduado
The doctors take out my tow balls my P S A blood test is 27 09
Going to find out Gleason score today...its going to be a good day....or a bad day.
I'm a retired physician. 5 1/2 years ago I got dx. of high-risk prostate cancer; stage III by the latest staging system. I needed to do my own research on survival and side-effects to get the current knowledge at that time. I went into it thinking surgery gave me the best chances, but learned that surgery and radiation were comparable after separately analyzing Gleason scores, and radiation had better sexual function outcomes. One of my radiation oncologists basically ignored me when I said survival was not my only goal. My other radiation oncologist was willing to listen to me and support my decisions. He was MSKCC trained and supported my efforts to to maintain sexual function. I'm extremely grateful to him. I wonder if Dr Mulhall was part of his training experience? (There was a randomized trial but its results were reported after this talk.)
Hi Good to hear you survived. Which one you choose Radiation or Surgery? Thanks
@@allancarvajal1518 I went with High-dose rate brachytherapy followed by external beam radiation using IMRT. (Total dose was equivalent to 78 Gy-equivalent, about equally divided between brachy and EBRT.) He also gave me daily sildenafil which he said was supporting endothelial recovery. His exact words still echo in my brain: "It's all about the endothelium".
@@dwinsemius I’m currently being treated @ MSKCC by Dr. Kollmeier who is an Oncologist there. I had surgery by Dr. Laudone back in 2010. Radical Prostatectomy and Radiation didn’t work for me. Now I’m on hormone therapy pill 💊 called Orgovyx. I’m starting another round of radiation therapy next month. This time only five weeks and a much lower dosage than I had back in 2012. So we’ll see if this finally cures me. I remember meeting with Dr Mulhull back in 2010. He spoke to me about getting penal injections to help with erections. But I didn’t need them. I may need them now after this radiation & hormone therapy. I’m 53 years old and this is my 2nd reoccurrence of my Prostate Cancer.
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I am sick to my stomach after hearing my future reality. This is a cruel cancer.
I’m suicidal I can’t believe this…. They want to put me on Lupron too.
truth. finally!
Oh my! Dr. MULHALL Bless you! The host was hilarious!I love this type of doctor. Men in my community are getting this treatment without this video...only 39k!!! Spread this!!! "Like Lorena Bobbitt said let's cut this thing short!" Love it!🤭😌🥰
Very enlightening I’m a year out from radiation therapy he is absolutely correct
Well very informative but very sobering precisely because - as he says - specialists discussing prostate cancer treatment do not go into these points, or very sketchily, and pressure is on to make a decision after one consultation.
Is testosterone therapy addressed in your book?
Fantastic talk, so insightful and helpful. Cut out the jokes. Please.
Such a knowledgeable Doctor
Knows his stuff
Thanks Doctor
You are amazing ❤
Wow what a doctor.
Almost no doctor are clearing the table like you are doing doctor.
I feel like the society forget the men all over the world, because I don't understand why doctors don't talk about the sexual function of men when they are battling with cancer or other illness that will affect them sexually.
11k views in 5 years ? that's all? forwarding this to my urologist and will ask him what he thought of it on my next visit.
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I've been posting links; PCa patients need to know this!
Did not hear anything about pain in lower back at climax, which I experience evey time, after seed implants in 2004. Just looking for an explanation.
great info. 3 weeks out from RP and an wandering in the dark how to help myself . Mulhall answered almost all my questions but more importantly provided timelines. Thank You!
Excellent video. I will NOT have treatment for prostate cancer IF my concerns about sexual function are not respected/supported. This is incredibly good and important information.
Just remember that it's considerably harder to enjoy sex if you are dead from cancer.
@@scottwillis5434 it's also difficult to enjoy life properly if your sexuality is destroyed. I've lived a good long life...I'd rather be dead than sexless.
That is typically what physicians say (Urologist). This a bias view. It is obvious you didn’t listen to this entire talk Scott!
You are one of the rare few who are treating patients as adults and human beings. THANK YOU.
The best advice I ever got. Thank you very much, Doctor.
Delete
.l in
This great. Life has been so horrible from age 57; I am 67 now. Was on Xtandi. Too long of a story to get into here. I was led down the biased road of the more castration the better. The lower the testosterone the lower the cancer. Now with more research the science adds hope. I am so angry. The side effects are hurting as a man, strength, higher sugars, all other factors too. I fired my Urologist and the new one revealed that I should have not been on Xtandi. That’s why I am happy and angry. I made a decision to change my life. I want to enjoy my sex life and be somewhat active. I want to be a man again. Years ago I was a bodybuilder and was strong. I don’t need that anymore but I do want to have more strength and have less muscle and bone problems. I hope this helps someone.
Robert --I hope you can get much of your life back. I'm at a crossroad in determining my treatment with extensive gleason 7. I will keep your experience in mind for sure.
What treatment should i get
Don't get a radical prostatectomy it will completely ruin your life for ever, no sex whatsoever, incontinence, mental worries and so much sadness.
Very interesting video which shows there is no easy solution. Hormone therapy seems to have many negatives on general health as well. I have an MRI today after raised PSA so may well be facing this decision.
See also presentations (Laurence Klotz has at least one) about reducing the side-effects of ADT (hormone therapy). Bone loss can be prevented with one medication, statins help, and EXERCISE!!! is mandatory.
Dear Mark -How are you doing today? I got a PSA of 10 and getting an MRI on Tuesday. Getting very nervous.
Hi Luke, I am so sorry and I know how agonising the wait is. The MRI is like an open book and shows what the next step is. Remember though that PSA is not a good diagnostic tool because we’re all different. The MRI will confirm to your urologist whether a biopsy is needed and will guide where the cores should be taken.
In my case, the MRI showed I have a naturally large prostate which accounts in part for my raised PSA. My PSA has come down after three months from 8.6 to 6.7 and I have another scheduled in February so for now, they are watching and I will likely have another MRI in 9 months time. There is an area of the prostate with some abnormality, hence the ongoing monitoring.
My urologist showed me another MRI (anonymous of course) of someone with a normal sized prostate (40cc, mine is 80cc) who unfortunately has cancer and the difference was clear to see. The MRI is a valuable diagnostic tool.
I certainly wish you well. Remember that the one good thing about Prostate Cancer is that it generally develops slowly so there is time to make the right decisions. Good luck!
@@marknorton5951 Mark --I'm very happy for you. I guess the big question for you is --Did you have any symptoms? Im peeing 20 times a day --and got burning sensation there as well. I got two prior high PSA levels in the past 18 months 6.8 and 8.4. So its been rising. I would feel more hopeful if I did not have any symptoms. How about you?
@@marknorton5951 Oh btw --my urologist says my prostate is only a little enlarged.
Great talk!!
fantastic video
Great talk!
Sex sex ? Anything else is secondary
I was on TRT before my diagnosis and prostatectomy. Now, 4 years later with undetectable PSA. Looking to start with TRT.
Ed and no libido is present.
Hi Carlos. I am on TRT now for years. I'm 65 -Got a PSA of 10 and have a MRI scheduled for Tuesday. Scared!
On TRT post MRI-Linac 2.5 years ago. After one year TRT was reatarted. PSA now on T for a year 0.07.