Sexual Function in the Prostate Cancer Patient

Description

Sexual dysfunction presents a major challenge to physicians who take on the task of treating men with prostate cancer. While curing the disease and saving a life is paramount, improving technologies and therapies now offer skilled surgeons and clinical oncologists the opportunity to eradicate the disease without compromising sexual function. In Sexual Function of the Prostate Cancer Patient, John Mulhall and a panel of internationally recognized experts on prostate cancer and sexual function assess in detail the current state of prostate cancer treatment. The authors offer a broad overview of the pathophysiology and treatment of erectile dysfunction in men with prostate cancer, reviewing the latest findings regarding erection-sparing radiation therapy and sexual function outcomes after laparascopic and robotic prostatectomy. Additional chapters discuss intra-operative maneuvers to minimize post-operative erectile dysfunction and pharmacologic penile preservation and rehabilitation. Timely and authoritative, Sexual Function in the Prostate Cancer Patient is a highly readable guide to preserving post-prostate cancer sexual function that no urologist or radiation and medical oncologist should be without. Front Matter....Pages i-xix Sexual Dysfunction After Radical Prostatectomy....Pages 1-16 The Impact of Prostate Cancer Diagnosis and Post-treatment Sexual Dysfunction on Quality of Life....Pages 17-32 Pathophysiology of Erectile Dysfunction Following Radical Prostatectomy....Pages 33-53 Pathophysiology of Erectile Dysfunction Following Radiation Therapy....Pages 55-67 Evolution of Radical Prostatectomy as It Pertains to Nerve-Sparing....Pages 69-81 Laparoscopic and Robotic-Assisted Radical Prostatectomy: Sexual Function Outcome....Pages 83-89 Potency-Sparing Radiation: Myth or Reality?....Pages 91-109 Neuromodulatory Drugs for the Radical Prostatectomy Patient....Pages 111-128 Nerve Grafting at Radical Retropubic Prostatectomy: Rationale, Technique, and Results....Pages 129-138 Erectile Function Preservation and Rehabilitation....Pages 139-162 Impact of Androgen Deprivation on Male Sexual Function....Pages 163-175 The Utility of PDE5 Inhibitors After Radical Prostatectomy....Pages 177-196 Injectable Therapies After Prostate Cancer Therapy....Pages 197-207 Non-pharmacologic Erectile Dysfunction Treatments After Prostate Cancer Therapy....Pages 209-231 Androgen Supplementation in the Prostate Cancer Patient....Pages 233-244 Future Therapies Applicable to Post-radical Pelvic Surgery Patients....Pages 245-256 Back Matter....Pages 257-263