Men Need a Realistic Perspective About Life Without a Prostate

Men Need a Realistic Perspective About Life Without a Prostate
In 2001, the way prostate cancer was treated was revolutionized by the introduction of the da Vinci surgical robot. Men with prostate cancer faced a new dilemma. The robotic procedure was heavily marketed by hospitals and treatment centers with unsubstantiated claims and benefits. According to a 2011 study by Johns Hopkins Medicine, as many as

Knowledge is power when living with prostate cancer.

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Rick Redner received his master’s degree in social work from Michigan State University. He has spent many years working as a medical and psychiatric social worker He is the author of the award winning book I Left My Prostate in San Francisco-Where's Yours? His second book Everything You Never Wanted to Know About Erectile Dysfunction and Penile Implants won the Beverly Hills International Book Awards in Men's Health in 2016. Additionally, the book was a winner in the 2017 IAN Book of the Year Awards.

11 comments

  1. Michael Boring says:

    The statistics lie. Therefore DR lie because they quote statistics. I am a Patient Advocate and speak to men’s health groups several times a year about my recovery and our success with the implants. Men who regain 50% or more sexual function after a prostatectomy are the exception. Those like you and me who regain 0 are the norm. Thanks getting the message out. Let me know if I can help in any way

    Michael

  2. Don says:

    I’m a recent prostatectomy patient and all of the options including implant surgery were discussed with me by my surgeon. He didn’t sugar coat things. He indicated a real possibility of being impotent after the 1-2 year window. I don’t feel he gave me false hope but some of the treatments post-op I.e. low dose Cialis is a hope providing option. Now it’s a wait and see.No one can predict how the body will react to such invasive measures. I feel they do all they can to save our lives….the rest is left to time, healing and other biological factors.

  3. Lawrence Glickman says:

    Read the following book for a comprehensive discussion of less invasive prostate cancer treatment options. With better potency profiles. I found it hugely helpful and accurate.

    “AN ABC OF PROSTATE CANCER TODAY Second Edition My Journey over 4 Continents to Find the Best Cure” Alan G. Lawrenson An ABC of Prostate Cancer Today (Kindle Locations 24-31). Alan G Lawrenson. Kindle Edition.

  4. Randell Young says:

    Q: Now that both the 5-year and 10-year clinical data are in on CyberKnife, why would anyone choose to undergo a prostatectomy?

    A: They trust their doctor (who is more interesting in reimbursement than patient outcome) and they fail to do even a modicum of research on their own…

    http://finance.yahoo.com/news/prospective-multi-institutional-study-shows-110000214.html

    https://prostatecancernewstoday.com/2017/09/28/most-low-risk-prostate-cancer-patients-disease-free-10-years-after-cyberknife-therapy-accuray-says/

    • Lawrence Glickman says:

      Randell cyberknife has some very impressive cure rates and when my time comes it will be near the top of my list. There is one issue and that the recent statistics show a 40% potency issue depending on the case etc. If one has only a couple of well defined lesions and a PSA below 6 and potency is a major concern etc I might go with the new TOOCAD system developed in Israel and it just did well in tests at Sloan Kettering. Currently available in Mexico or Israel but soon generally or with HIFU (High Frequency Ultrasound) or focal Cryo with Doctor Duke Bahn in Ventura CA. Each case is different but less radiation is a good thing. I would go with CyberKnife rather than surgery.

  5. Jeff says:

    For what it’s worth…
    My experience is that my urology doc didn’t sugarcoat the potential outcomes, and conversations with numerous survivors and holistic practitioners suggested to me anecdotally that I might try self stimulation as soon and as often as I felt I was up to it, that promoting more frequent blood flow might actually promote more healing.
    I had da Vinci surgery 3 1/2 years ago, and within one year I had regained 50% erections and by two years 80%, where I remain today. I am 70 years old now, and have regained most of my sexual potency—enough to have what seems to be a normal level of sexual activity for a man of my age. I credit my doc’s skill, a positive attitude, and maybe—just maybe—my personal effort to promote a return to mostly normal activity.

  6. Darryl Baillie says:

    I was told my my Urologist that all of his patients have erections after the Da Vinci robotic surgery, then he added – every so often about one in 200 men might not. He claimed that the outcome was about 70% of pre-surgery level. HE LIED! that was 7 yrs ago.
    I to am a patient advocate and I tell my guys the figures in Australia are that 77% will have no function at 2 yrs and that figure was from Dr Norman Swan and he went on national television to say it. Yet none of the liars (Urologists) will go on national television to speak to their claims… I wonder why??
    They should be prosecuted for false and misleading advertising!!

  7. Bill says:

    I was lied to.Or in the least misinformed by uninformed Drs.I was told all function would be back in a year.5 years later after the davinchi procedure im worse off than I was before surgery.I should have let it run its course or tried radiation and enjoyed my last few years as my pristate was 75% involved with cancer.

  8. Christopher Brown says:

    I’m not a patient, but I have had a close family member recently diagnosed. I am disturbed to hear so many men complain they are still alive and free of cancer. Or am I missing something here?

  9. Lawrence Glickman says:

    I am disgusted at the slow pace of the FDA to approve the TOOKAD system and other less invasive procedures. It seems to me that the FDA and the AMA are conspiring to maintain the high priced surgery and radiation treatments. Sloan Ketering already said TOOKAD looks fine and Mexico and Europe have approved it. In addition outside of Dr.Sperling in Florida most Docotors have no idea that laser treatment is available. Next why is it hard to get insurance coverage for less invasive procedures? Something is rotten at the FDA and AMA, Finally that are clinical studies showing various natural supplements that may slow down or stop the advance of PSA such as boron. Why is it that few Doctors know anything about the role of diet and supplements? Again not enough money in it?

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