Re: Erectile difficulties from dutesteride and finesteride
- From: "Gene F. Rhodes" <nspm.gfrhodes@xxxxxxx>
- Date: Tue, 03 Jan 2006 10:49:52 -0600
Thank you Physician.
I for one believe all you say and would like to hear more from you.
thanks again
Gene http://www.photoprojects.net/
Physician wrote:
> I am a physician who was the medical director of one the largest
> erectile dysfunction/sexual dysfunction clinics in the world. Many of
> the treatments for BPH cause erection problems.
>
> Finesteride and dutesteride both block the formation of
> Dihydrotestosterone which is essential for normal sexual function and
> needed for good erections, for sperm production and ejaculation. These
> medications can also shrink an enlarged prostate. Even though only
> 3-5% of men will have profound erection problems when they start these
> medications the majority of men using them will have a significant and
> very real decline in the quality of their erections. Spontaneous
> erections and mornming erection will become less frequent and
> eventually stop which are one of many signs that a man's sexual
> functionis being weakened while on these medications. These changes
> that happen gradually and very few doctors know the correct questions
> to ask to detect these problems. But once erections have started to
> weaken it is my experience that these changes are usually irreversible.
> Stopping these medications will not restore normal erections again.
> Most men who experience erectile problems on these medications it is
> irreversible.
>
> I am also sickened by the large numbers of men who are receiving
> radical prostatectomies for small or minor elevation of the PSA. There
> are many men with no symptoms or signs of BPH but who have only a small
> increase in their PSA who are recieving biopsy's of their prostate.
>
> In Canada Urologists make a living doing procedures.
>
> So when a man is referred to an urologist even when the prostate is not
> enlarged and their are no symptoms the patients are often told that to
> be safe they should have an ultrasound and a biopsy.
>
> Well most men with prostate cancer never find out that they have it and
> die from something else. In fact if you did an autopsy on men 60 years
> old, 60% will have microscopic prostate cancer, 70% of men aged 70
> years old will have prostate cancer, 80% 0f men over 80 will have
> microscopic prostate cancer, and 90% of men aged 90 years old will have
> prostate cancer but very few of these men will ever die or have
> problems from their cancer.
>
> That is why it is dangerous to be doing routine biopsies on men with a
> PSA below 10.
>
> Because if you are 70 years old you will have up to a 70% chance of
> that test showing that you have cancer, even though their is only less
> that a 1/10 chance that that cancer will ever enlarge and cause you
> problems. If the prostate is normal only if that PSA goes from below
> 10 to well over 10 do you need to have a biopsy.
>
> Most men with a positive biopsy within days or a few weeks are having a
> radical prostatectomy, which means they will never ever ejaculate
> again; they will never ever have a normal erection without using
> intra-penile injections. More than 50% will be incontinent of urine
> and have to wear diapers for the rest of their lives, and perhaps 20%
> will have fecal incontinence.
>
> In fact the majority of men I see who have profound sexual dysfunction
> from prostate cancer had no symptoms and the only reason they had the
> biopsy was because of a minor increase in their PSA.
>
> Since the introduction of the PSA test Urologists are doing 4 times
> more radical prostatectomy's even though their has been no decrease
> in the death rate from prostate cancer! Doctors may just doing more
> un-necessary surgeries on men who would never have had any problems if
> they had been left alone.
>
> If you have a PSA test that is less than 10, wait a few months and
> repeat it. Only if the PSA is rising, or you have signifcant
> enlargement, reduced or blocked urine flow or asymetry or a nodule
> should you consider a biopsy if your PSA is below 10. If you elect to
> have a biopsy remember if it is positive you will imediately have the
> quality of your life profundly changed in a very short period of time!
>
> Remember erectile problems rarely are caused by the prostate, it is the
> tests and procedures such as cystoscopies, biopsies and
> TURPS/prostatectomies done by urologists that damage the penis that are
> going to ruin your sex life, not the postate itself if it is left
> alone. All patients need to be fully informed before they can make an
> informed choice about the choices of treatment offered to them.
.
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