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Urology (Expert Forum)
Prostate cancer & curvature of penis
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Prostate cancer & curvature of penis
by tom-mckay, Nov 29, 1998 12:00AM
My dear doctors, Two years ago I had a negative biopsy of the prostate but a following infection that was persistent. After Cipro didn't work my URO put me on DES and sulfamet trimet which caused horrible penile eruptions and also to the mouth where I had ugly sores ans swollen gums. The bleeding in the anus also continued for some six months before my MD got it under control. My sex life also became one of pain. He sent me to a differnt URO who found aggressive cancer ( nasty ploidy:poly and some mono and Gleasons of 8 &10 as well as ECE and bone pain in the right femur. I Undertook A vitamin regimen for a few months and found out I had terrible Osteoporosis; confirmed at MDA So, I then went on Triple Androgen Blockade as the best choice under the circumstances and did well. But the Oncologist was very upset about the Osteoporosis that I presented with. He could find no excuse for how that came about and since the hormone protocol also leads to some osteo it is usually insignificant if presented normal. Well, after my treatments and I went to o.o psas for some time, I went on Proscar maintenance and 120 mg. of Aredia once a month (IV) and waited for my testosterone and dihytestosterone to kick in and hopefully balance out at the normal psa route. Well, all was going well and I thought back to previous erections that were painful since the penile problem of two years ago and yep----the problem is still there but moreso, thatis I have some downwardcurvature and my penis is juvenile...I have lost length and circumference and I cannot get a rush to the head...all seems atrophied. I have been trying like crazy to get a Duplex Scan here but all the Doc's get so uptight and even tell me to wait a little longer while they investigate the phenomena. Hey, I'm near 65 and I can't wait forever. I need answers and then some possible treatment or other plan of action. And even with the juvenile penis, sex is too painful due to the angle of deviation. I have omly about 10 to 15 degrees of angle right down (down and ventral I suppose) and I need to get on top of this problem. Locval URO's here in El Paso are no help; I have seen four and all they know to do is cut (orchiectomy) or cut the prostate or cut the penis. They should get in a time machine and go back to 1930..cause that is asll they offer other than the modern machines. gotta go. Textom P.S. I did try Caverject both by insert and by injection; needless to say I had no luck. Viagra was also written for me but it flushed my face and head so bad that I could barely breathe; so I just said no and waited for the hormones to ear off. I did and the desire and erections are coming but with the curvature, pain and juvenile.
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Dear Tom,
Prostate cancer can be treated in a variety of ways. For some patients watchful waiting is indicated, and for others surgery, radiation therapy, cryosurgery or hormonal therapy is indicated. You have been treated with hormonal therapy. By decreasing testosterone, blocking its actions, or preventing the conversion of testosterone to a more active form prostate cancer growth can temporally be controlled. A potential side effect of hormonal therapy is impotence or erectile dysfunction.
You have tried and failed Viagra, MUSE, and Caverject. Other treatment options include a vacuum erection device. These are safe and for some, effective. If less invasive treatments fail, then a surgically implanted penile prosthesis can be considered. These can not only solve the erection problem, but also help to straiten penile curvature.
More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568). We can also arrange local accommodations through this number if this is
your need. Please bring any physicians’ notes and lab test results that
you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS M.D.-CK
*KEYWORD: prostate cancer, erectile dysfunction
=========================================================
Dear Tom,
Prostate cancer can be treated in a variety of ways. For some patients watchful waiting is indicated, and for others surgery, radiation therapy, cryosurgery or hormonal therapy is indicated. You have been treated with hormonal therapy. By decreasing testosterone, blocking its actions, or preventing the conversion of testosterone to a more active form prostate cancer growth can temporally be controlled. A potential side effect of hormonal therapy is impotence or erectile dysfunction.
You have tried and failed Viagra, MUSE, and Caverject. Other treatment options include a vacuum erection device. These are safe and for some, effective. If less invasive treatments fail, then a surgically implanted penile prosthesis can be considered. These can not only solve the erection problem, but also help to straiten penile curvature.
More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653 6568). We can also arrange local accommodations through this number if this is
your need. Please bring any physicians’ notes and lab test results that
you may be able to obtain. These will help us greatly.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition.
Sincerely;
HFHS M.D.-CK
*KEYWORD: prostate cancer, erectile dysfunction
