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Saving Your Sex Life: A Guide for Men with Prostate Cancer Paperback – September 1, 2008


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Product Details

  • Paperback: 307 pages
  • Publisher: Hilton Publishing (September 1, 2008)
  • Language: English
  • ISBN-10: 0980064961
  • ISBN-13: 978-0980064964
  • Product Dimensions: 0.7 x 6 x 8.8 inches
  • Shipping Weight: 14.4 ounces
  • Average Customer Review: 4.9 out of 5 stars  See all reviews (12 customer reviews)
  • Amazon Best Sellers Rank: #837,343 in Books (See Top 100 in Books)

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Customer Reviews

4.9 out of 5 stars
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See all 12 customer reviews
A must read before deciding on any course of treatment.
dktenor
Moreover, Dr. Mulhall has taken a complex topic and transformed the issues into plain, simple language that every reader may easily understand.
A. B. Perchorowicz
If you have prostate cancer, you need to read this book.
Grandpa

Most Helpful Customer Reviews

23 of 23 people found the following review helpful By A. B. Perchorowicz on November 9, 2008
Format: Paperback
"Saving Your Sex Life" is the most informative book I have read concerning Erectile Dysfunction (ED) and prostate cancer. A must read book for every male that will face prostate surgery or radiation treatment in the near future, as well as those men who are concerned about restoring their sexual function after prostrate surgery. Dr. Mulhall has gone to great depths, chapter by chapter, to explain in detail the various processes and procedures used to treat ED. Moreover, Dr. Mulhall has taken a complex topic and transformed the issues into plain, simple language that every reader may easily understand. This book gives men insight to post-operative assistance that is readily available to treat ED situations.
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18 of 18 people found the following review helpful By R. F. Shepard on October 24, 2009
Format: Paperback Verified Purchase
I met the author at a prostate cancer convention in Los Angeles, in Sept. 2009. His book was given to every man attending. His seminar was excellent and his book is excellent.
He remained for over two hours after his seminar to answer every man that had a question. He describes himself as a "Penus" doctor. Amen! He tells you everything your urologist neglected to mention. Such as; just because a doctor tells you a certain percentage of men were able to obtain an erection after treatment does not mean they were able to penetrate or complete intercourse. Another: the real side effects from radiation do not show up until after 18 months or two years. Buy the book, for $[...] you will learn how erections and ejaculation works. Most important, you need to read this book before you decide what treatment to get for prostate cancer. I wish I had, but at least now I know what to expect. Get the honest truth about what different treatments will do to you.
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12 of 13 people found the following review helpful By Charles C. Maack on April 14, 2009
Format: Paperback
An excellent, well explained book dealing with the continuing problem experienced by prostate cancer patients and partners but rarely sufficiently explained by physicians treating this insidious men's disease.
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10 of 11 people found the following review helpful By dktenor on April 2, 2009
Format: Paperback Verified Purchase
This book is informative and has details that perhaps the doctors didn't tell you. A must read before deciding on any course of treatment.
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2 of 2 people found the following review helpful By PHILIP A. STAHL on January 20, 2014
Format: Paperback Verified Purchase
I can still recall vividly in July of 1012, when my prostate biopsy results came back and my urologist informed me (in a post-biopsy office visit) that I had adenocarcinoma in 5 cores, Gleason scores of 3, 3 in two and 3, 4 in the others, At the one hour meeting he wanted me to realize that I had no choice regarding some kind of treatment and that passive waiting wasn't an option. It had to either be a radical prostaectomy or radiation therapy. He leaned toward the first given that he was an expert in the field of da Vinci robotic suergery.

But I'd made my mind up a week before, to have the radiation therapy, in no small measure because of Dr. Mulhall's book. (Chapter 1, on 'The Basics of Sexual Function' is especially useful for brushing up - irrespective of the type of treatment chosen). There were two factors that swayed me: 1) reading in Dr. Mulhall's book (p. 45) that "positive margins" (remnant cancer cells) can be left behind in radical prostatectomy - something I learned that can even happen to the most experienced surgeons - especially using da Vinci robotics, and 2) the fact that my wife had already worked 20 years in a radiation therapy setting (brachytherapy software corporation) and knew where I could get the optimum treatment.

When my urologist heard my choice of treatment he also concurred, saying tha for my age (then 66) the results were pretty much the same whether one chose surgery or radiation.

So, I opted for high dose rate (HDR) brachytherapy, at the Helen Diller Cancer Center at the University of California San Francisco (UCSF). I was also extremely fortunate, in that only a few months before I arrived at UCSF the multiple treatment form of HDR was replaced by the one time HDR brachy treatment based on a study done by Dr.
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Dr. Mulhall is the world's leading expert in sexual medicine, as it relates to preserving male functions after radical prostatectemy (prostate removal for cancer). After my prostate removal in August 2013, I did a massive amount of online research regarding how best to get back to normal after the surgery, which will take 12 to 24 months. Prostate removal, universally results in the inability to achieve erection, due to nerve damage (even when the nerves are totally spared). It takes the nerves as much as 12 to 24 months to come back to life, in order to trigger normal sexual function, even though you have full sensitivity to touch, without any lapse, immediately after the surgery.

An unforeseen problem arises for those who do not engage in penile rehabilitation, during this critical 12 to 24 month period of nerve healing. If erections are not instigated through intervention (as described in Dr. Mulhall's book...daily use of low dose Viagra or Cialis, or trimix injections), on a regular basis, starting about 6 weeks after surgery, then the cavernosa muscles in the penis, which the blood flows into, in order to "inflate" can be become damaged through lack of oxygen that accompanies engorgement from blood flow. Collagen deposits will form in the spongy tissue of this muscle and cause atrophy, over a period of time. Then when the nerves do come back to life, they are ineffective in causing an erection because the erection muscle has been damaged through inactivity.

The only reason I knew about this critical post operative requirement is because I went to Houston to have my prostate removed, by one of the foremost surgeons in that situation. Dr.
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