EP196: More headache of penile disorder after surgery for prostate cancer | PUTTING DR G ON THE SPOT - video Dailymotion

The Star

Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G,delves into the woes faced by men who have had undergone radical prostatectomy to treat their prostate cancer.   WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00 So what are we talking about this month?

00:02 In fact we're talking about prostate cancer and also the consequences of various treatment

00:08 and this week we're going to talk about radical prostatectomy and the consequence of erectile

00:13 dysfunction.

00:20 We all know that prostate is closely linked to a nerve called neurovascular bundle and

00:26 that neurovascular bundle is very important for the nerve and also for the vessels for

00:31 the supply of the penis for the purpose of erection.

00:35 So therefore an operation such as radical prostatectomy for the purpose of prostate

00:40 cancer can result in the destruction of this nerve and therefore men who previously was

00:48 having no erection problem after the operation might have the erection problem ranging between

00:54 30 to 80% depending on the integrity of the vessels.

00:59 So how do we prevent this from happening?

01:02 One of the way is called penile rehabilitation.

01:06 What does it mean?

01:07 It's actually meaning that before the operation the patient receives a medication to enhance

01:12 the nerve supply and also the blood supply to the penis and during the operation the

01:19 surgeon will do something called neurovascular bundle preservation and as a result of that

01:26 the chances of erectile dysfunction is very low.

01:29 However sadly some men presented with the disease quite advanced and the actual compromise

01:35 of neurovascular bundle is completely unavoidable so some men after the operation ended up with

01:42 the dreaded erectile dysfunction.

01:45 How do you deal with that?

01:47 Sometimes medicine such as the blue pills, BDE5 inhibitors will work.

01:51 However if it doesn't work, injection such as injection directly into the penis in order

01:57 to enhance circulation may be a solution.

02:01 So therefore now you know there's always a solution for the complication of erectile

02:06 dysfunction.

02:07 There is no reason to avoid this dreaded problems of prostate cancer and eradications with radical

02:15 surgery.

02:17 For the second installation of Putting Dr G on the Spot in the month of November, we're

02:22 going to talk about fertility after radical prostatectomy.

02:27 Are you able to continue to produce children?

02:29 Is your sperm still viable?

02:32 So if you are curious then you need to stay tuned for next week's Putting Dr G on the

02:38 Spot.

02:38 [music]

02:39 [end]

EP196: More headache of penile disorder after surgery for prostate cancer | PUTTING DR G ON THE SPOT

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