Save Your Sex Life After

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  • เผยแพร่เมื่อ 25 ต.ค. 2024
  • Donate to PCRI: pcri.org/donate
    For more information. visit www.pcri.org
    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.prostatecan...
    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.

ความคิดเห็น • 48

  • @mahlerbech5743
    @mahlerbech5743 11 หลายเดือนก่อน +17

    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.

  • @derrickdoles232
    @derrickdoles232 8 หลายเดือนก่อน +11

    Perhaps the best video I've seen dealing with prostate cancer and sex.

  • @MrGuitar1458
    @MrGuitar1458 11 หลายเดือนก่อน +5

    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.

  • @Obaerik
    @Obaerik 10 หลายเดือนก่อน +5

    Amazing talk! Urologist, this video should be playing in the waiting room on loop!

    • @chetg2924
      @chetg2924 หลายเดือนก่อน

      indeed

  • @dennism8221
    @dennism8221 11 หลายเดือนก่อน +3

    great talk, wish I knew this before my RP.

  • @jarettcron8894
    @jarettcron8894 8 หลายเดือนก่อน

    This is very encouraging information. Useful education. Now I know I have options.
    Thank You for this!!!

  • @pdodge3689
    @pdodge3689 10 หลายเดือนก่อน +2

    This is an amazing talk. Would you PLEASE POST THE SLIDE on penile rehab pathway discussed?

  • @stephenedwardleemusic8997
    @stephenedwardleemusic8997 2 หลายเดือนก่อน +1

    Thank You so much for this video!! Im Grateful

  • @joethecomputerguy1
    @joethecomputerguy1 2 หลายเดือนก่อน +1

    If you have prostate cancer and are deciding on therapy this should be a MUST see.

  • @gary4451
    @gary4451 11 หลายเดือนก่อน +3

    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 10 หลายเดือนก่อน

      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 10 หลายเดือนก่อน

      Thanks for the suggestion. @@22000beachmom

    • @nickstrapko7549
      @nickstrapko7549 10 หลายเดือนก่อน

      We should compare notes I am also Gleason 4+3. Email?

    • @scottwillis5434
      @scottwillis5434 7 หลายเดือนก่อน

      Whatever you look at, the recurrence rate is important. Keep monitoring!

    • @jpjp3873
      @jpjp3873 หลายเดือนก่อน

      Hi, how did things turn out? Hopefully well.

  • @chetg2924
    @chetg2924 หลายเดือนก่อน

    This is a very good video.

  • @toddhupp
    @toddhupp 9 หลายเดือนก่อน

    excellent presentation,very beneficial for me

  • @spitfirekid1
    @spitfirekid1 11 หลายเดือนก่อน +8

    I had focal brachytherapy in 2020. I’m 68 and I don’t have ED or any issues with incontinence.

  • @roccomeola7335
    @roccomeola7335 7 หลายเดือนก่อน

    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!

  • @jpjp3873
    @jpjp3873 หลายเดือนก่อน

    All good information but I still don’t know if RP or radiation is the right answer.

  • @notsofasted3094
    @notsofasted3094 11 หลายเดือนก่อน

    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....

  • @monarc78
    @monarc78 11 หลายเดือนก่อน +2

    where can we find the slides on penile rehab pathway?

  • @painani2007
    @painani2007 4 หลายเดือนก่อน

    Where can I find a doctor with a similar clinical orientation as Dr. Mulhall in Mexico City?

  • @chetg2924
    @chetg2924 หลายเดือนก่อน

    My wife will probably leave me. I had issues before I knew I had the cancer. That was how I knew something just wasnt right. My diagnosis mentioned intrusion. Wife has been already talking to every man she can find. I did ask for the radioactive pellets though. My condition was too wide spread for it. It is interesting though that I did have a sleep study before all this for another issue. The doctor had me raised the head-end of my bed about 2 inches with bricks. Well, my wife sleeps better, so therefore I think I do too.

  • @JosephIrvine-b5w
    @JosephIrvine-b5w 2 หลายเดือนก่อน

    Can castration help with prostrate cancer?

  • @SuperQdaddy
    @SuperQdaddy 9 หลายเดือนก่อน

    Sorry ladies the pressure is off...but I can still get off..and no mess..lol😅..your attitude and imagination is king

  • @notofthisworld5998
    @notofthisworld5998 4 หลายเดือนก่อน

    Regardless of how he colored it, you want the robot over the open prostatectomy. Less abdominopelvic scar tissue, shorter recovery, shorter hospital stay

  • @nickstrapko7549
    @nickstrapko7549 10 หลายเดือนก่อน +2

    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

  • @colinwilliams9758
    @colinwilliams9758 8 หลายเดือนก่อน

    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 7 หลายเดือนก่อน

      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 7 หลายเดือนก่อน

      No Metas teas in limp nose only left rib is that possible and stage 2 is that possible

  • @jhowze6407
    @jhowze6407 7 หลายเดือนก่อน

    I had radiation and it went well. But my testosterone has drop below 200 and I have no sex drive. I really need help😢

    • @guyalston3092
      @guyalston3092 2 หลายเดือนก่อน

      What kind of radiation treatment?

  • @WesleyV-g5s
    @WesleyV-g5s หลายเดือนก่อน

    Absolutely, after go’ogling around I realized that Simmy Krotiel’s Bigger Blueprint was modified and you can make it bigger even faster, yep, what Simmy suggested before was pretty good, but the new stuff teaches how to make it up to four more inches bigger

  • @salamawaad9460
    @salamawaad9460 11 หลายเดือนก่อน +2

    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 11 หลายเดือนก่อน

      I also did this and one year now and no erection

    • @NathanLivengood
      @NathanLivengood 10 หลายเดือนก่อน +1

      I believe you choose wrongly in getting the prosectomy but I'm nobody.

    • @nickstrapko7549
      @nickstrapko7549 10 หลายเดือนก่อน +1

      what was your Gleason

    • @salamawaad9460
      @salamawaad9460 10 หลายเดือนก่อน

      @@nickstrapko7549 Gleason 4+3

    • @scottwillis5434
      @scottwillis5434 7 หลายเดือนก่อน +2

      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 6 หลายเดือนก่อน

    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!