Prostate Cancer Expert Forum
ED CURES
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ED CURES

I had prostate cancer four years ago. I elected to have my prostate removed. I am now 63 years old.
While I have a vacuum pump, are there any oral meds that work? I have had no success with viagra nor
cialis.
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242579_tn?1252114771
Thanks for your question.

Vardenafil (Levitra) is a PDE-5 Inhibitor oral medication which can be an alternative; however, sildenafil (Viagra), vardenafil, and tadalafil (cialis) appear to be equally effective[1-7].

You can also go for other alternatives such as :

Intrapenile injection therapy with alprostadil delivers the drug via an injection directly into the penis. It takes about 10 minutes to work and lasts for about 30 minutes. Although nearly 90% of men using intrapenile alprostadil reported erections about six months after therapy, most men are not willing to inject themselves regularly, so the treatment is not often used for long periods of time[8-12].

IIntraurethral alprostadil (MUSE) which is a medicated pellet about that is inserted into the urethra through the opening at the tip of the penis using a disposable plastic applicator. Like the oral medications, it, too, stimulates blood flow into the penis; an erection typically occurs within 10 minutes after insertion of the pellet, and can last for 30 to 60 minutes. About 40% of men have reported successfully achieving erections after using this drug, but the results are often inconsistent [13].

Before starting any medication, please consult your doctor and discuss the side effects and contraindications related to the drug.

Sincerely,

Ash Tewari, MD

http://www.cornellroboticprostate.org

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1.      Porst, H, Rosen, R, Padma-Nathan, H, et al. The efficacy and tolerability of vardenafil, a new, oral, selective phosphodiesterase type 5 inhibitor, in patients with erectile dysfunction: the first at-home clinical trial. Int J Impot Res 2001; 13:192.
2.      Klotz, T, Sachse, R, Heidrich, A, et al. Vardenafil increases penile rigidity and tumescence in erectile dysfunction patients: a RigiScan and pharmacokinetic study. World J Urol 2001; 19:32.
3.      Hellstrom, WJ, Gittelman, M, Karlin, G, et al. Sustained efficacy and tolerability of vardenafil, a highly potent selective phosphodiesterase type 5 inhibitor, in men with erectile dysfunction: results of a randomized, double-blind, 26-week placebo-controlled pivotal trial. Urology 2003; 61:8.
4.      Valiquette, L, Young, JM, Moncada, I, et al. Sustained efficacy and safety of vardenafil for treatment of erectile dysfunction: a randomized, double-blind, placebo-controlled study. Mayo Clin Proc 2005; 80:1291.
5.      Goldstein, I, Young, JM, Fischer, J, Bangerter, K. Vardenafil, a new phosphodiesterase type 5 inhibitor, in the treatment of erectile dysfunction in men with diabetes: a multicenter double-blind placebo-controlled fixed-dose study. Diabetes Care 2003; 26:777.
6.      Brock, G, Nehra, A, Lipshultz, LI, Karlin, GS. Safety and efficacy of vardenafil for the treatment of men with erectile dysfunction after radical retropubic prostatectomy. J Urol 2003; 170:1278
7.      Govier, FE, McClure, RD, Weissman, RM, et al. Experience with triple drug therapy in a pharmacologic erection program. J Urol 1993; 150:1822.
8.      Shenfeld, O, Hannani, J, Shallhav, A, et al. Papaverine-phentolamine and prostaglandin E1 versus papaverine-phentolamine alone for intracorporeal injection therapy: A clinical double blind study. J Urol 1995; 154:1017.
9.      Linet, OI, Ogring, FG, for the Alprostadil Study Group. Efficacy and safety of intracavernosal prostaglandin in men with erectile dysfunction. N Engl J Med 1996; 334:873.
10.  Carson, CC 3rd, Mino, RD. Priapism associated with trazodone therapy. J Urol 1988; 139:369.
11.  Kulmala, RV, Tamella, TL. Effects of priapism lasting 24 hours or longer caused by intracavernosal injection of vasoactive drugs. Int J Impot Res 1995; 7:131.
12.  Levine, SB, Althof, LA, Turner, LA, et al. Side effects of self administration of intracavernosus papaverine and phentolamine for the treatment of impotence. J Urol 1989; 141:54.
13.  Padma-Nathan, H, Hellstrom, WJ, Kaiser, FE, et al. Treatment of men with erectile dysfunction with transurethral alprostadil. N Engl J Med 1997; 336:1.
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