I am 62 and had a Turp operation in Jan 2004 for prostate cancer followed by 35 external radiation treatments. I was chemically castrated with casadex and zoladex over three months. The radiation treatment ended in April 2004. I now have erectile dysfunction. I have very little libido though prior to 2001 I was very interested as I had been all my life. Although I have some benefit from cialis, my penis is curved downwards and points horizontally inside of upwards as it did previously when erect. This makes intercourse unsatisfactory for both of us and I can never achieve orgasm except by masturbation. I also have a degree of incontinence which varies in severity from time to time. My oncologist, my urologist, my GP as well as phycologists do not seem able to offer any concrete advice and increasingly I begin to feel my problem may be permanent. Can you offer any clear guide lines as to what the prognosis may be as well as any beneficial treatments or other remedies?
One possibility can be Peyronie's disease, which is fibrosis or the formation of hardened tissue that can lead to penile curvature.
Calcified plaque can be identified with an X-ray or ultrasound.
Various conservative measures can be attempted, such as calcium channel blockers, or steroids.
Serere cases can be addressed by surgery.
These options can be discussed with your urologist, or in conjunction with a second opinion.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
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