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| SEXUAL FUNCTION AFTER DAVINCI
ROBOTIC PROSTATE SURGERY |
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| Medical Therapies for Erections |
Medical therapy requires a
prescription from a doctor. Therapies include medications
(Viagra,
Cialis,
Levitra),
treatments (Muse), devices (Vacuum Pump) and small injections
(Caverject,
Trimix.)
All of these therapies have their respective costs and
benefits. Sildenafil (Viagra) has some, not 100%, success
in prostatectomy patients. Nonetheless, existing literature
on its use after radical prostatectomy suggests it may
significantly aid potency. Certain heart medications and
Viagra are potentially fatal. Viagra can sometimes produce
headaches, skin flushing, and other side effects. Always
obtain permission from your physician before starting
Viagra.
Viagra works best if taken 1/2 hour before sexual activity.
It should also be taken on an empty stomach, and remember
that alcohol suppresses it's effectiveness.
If you take viagra, and nothing happens, you may try it
again. Viagra can be taken at anytime during the potency
process, and will work better as the nerves heal. Thus
it is possible, that it may begin to work later, even
after not working initially. Viagra (R) is a product of
Pfizer
Inc., please visit their site for more information.
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| Tadalafil (Cialis) works similar
to Viagra to encourage return of erections. Just as with
Viagra, potentially lethal combinations with certain other
medications exist, so consult your physician before beginning
Cialis. As advertized, Cialis can begin to work within
30 minutes, but notably, can work for up to 36 hours.
Cialis
is made by Lilly, you can learn more by visiting their
site. |
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| Vardenafil (Levitra) Similar
to Viagra in that you need to take it on an empty stomache
and that it’s window of opportunity is 4 hours.
As with both Cialis and Viagra, serious side effects with
certain medications are possible, so consult your physician
before use. |
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| A tiny wax suppository is used
to stimulate the erection, and is inserted with a small
plastic device into the urethra. There is, however, a
potential irritating burning pain during the first several
erections, and it costs more per use than the above oral
medications. Muse videos demonstrating the process are
free and can be sent to you upon request. Muse
is made by Vivus, visit their site for more information. |
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| Vacuum Pump |
| The vacuum pump is a non-invasive
method to obtain erections that has been around for quite
some time and offers a non-medicinal way to obtain erections.
Dr. Fagin has a program available at the office for men
who are interested in considering using this devise as
a part of his Erection Rehabilitation Program. |
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