PCRI’s Executive Director, Mark Scholz, MD, gives an overview of the side effects of prostate cancer treatments like radical prostatectomy and radiation therapy.

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0:32 The three common treatment side effects. The most common side effects of prostate cancer treatment are impotence, incontinence, and gastrointestinal issues. These issues are important because they affect men’s daily life. It is important to understand side effects because many men can avoid immediate treatment and the associated side effects.

1:34 Definitions of impotence. Most medical studies are based on the definition that if you can get an erection using viagra, you aren’t considered impotent. These studies only consider men impotent if they can’t get an erection taking viagra. Many men after treatment have to take viagra to get erections. Few men consider their erectile quality to be the same as before treatment.

3:22 Definitions of incontinence. The medical community defines incontinence as constant leakage, requiring 2 or more pads per day. It doesn’t include minor leakage or stress incontinence or climacturia (ejaculation of urine at the time of orgasm).

4:32 Gastrointestinal burns. This is less of a concern with modern technology. An FDA approved process where a gel is injected to move the rectum away from the prostate to protect it from radiation. It is still a concern from inexperienced practitioners.

5:20 Conclusions. Men with low-risk disease should avoid treatment because of the severity of the side effects. For men who need treatment, it is highly important to find skilled practitioners because the risk and severity of side effects are much lower.

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The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better-individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.

The information on the Prostate Cancer Research Institute's YouTube channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.

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