Re: Erectile difficulties from dutesteride and finesteride

This is scary stuff, especially when you read c. palmer's response (which
accuses the physician of not being a physician - which could very well be
true), and then read Genes response, which thanks him (i.e. just the
opposite). That is why it is dangerous to believe everything you read on
the Internet, and you have to be very careful. I have seen stuff like this
before (maybe from the same person - who knows).

By copy of this, I request Dr. Sancha comment on the "supposed physician's"
post. It sounds pretty shady to me also, since the author did not identify
himself like our Dr. Sancha does...Pete

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.


.

Relevant Pages

  • Re: Saw Palmetto Warning
    ... getting some relief from Saw Palmetto will now be worried, ... Problems with Detecting Prostate Cancer? ... > was increasing dramatically even before the detection of PSA was possible. ...
    (sci.med.prostate.prostatitis)
  • Re: Prostrate cancer and cycling
    ... > "We hypothesize that neither a heavy and regular physical exercise nor ... the effects of bicycle riding on PSA levels. ... antigen from the prostate gland into blood and increases serum PSA ... > treatment of prostate cancer and BPH. ...
    (uk.rec.cycling)
  • Re: Erectile difficulties from dutesteride and finesteride
    ... > needed for good erections, ... > increase in their PSA who are recieving biopsy's of their prostate. ... > microscopic prostate cancer, and 90% of men aged 90 years old will have ...
    (sci.med.prostate.bph)
  • Unstable: PSA
    ... I have a large prostate. ... PSA probably a lot bigger now. ... > here's a warning that is issued by a doctor on saw palmetto. ... Problems with Detecting Prostate Cancer? ...
    (sci.med.prostate.bph)
  • UNSTABLE PSA
    ... I have a large prostate. ... PSA probably a lot bigger now. ... > here's a warning that is issued by a doctor on saw palmetto. ... Problems with Detecting Prostate Cancer? ...
    (sci.med.prostate.bph)