Surgery is the “gold standard” treatment for BPH symptoms. In 95 percent of men, it can be accomplished in a minimally invasive way— without an incision—in a procedure called transurethral resection of the prostate (TUR). The TUR is safe, effective, and has few side effects. If your prostate is very large, however, you may need [...]
Impotence has been reported in as many as 10 percent of men after a TUR, but this is the most difficult to document of all the postsurgical complications. In some older men, impotence just develops spontaneously, whether or not they’ve had surgery. And there are so many variables to consider—self-consciousness; the presence or absence of [...]
Men who are impotent after prostatectomy or radiation therapy have normal sensation, normal sex drive and can achieve a normal orgasm. Their only trouble may be in achieving or maintaining an erection—that’s the bad news. The good news is that this is a problem that can always be treated.
Why does impotence occur? There are main [...]
If adrenal androgens really were the key to fighting prostate cancer, flutamide should produce a dramatic improvement in men who were castrated, took estrogen or an LHRH agonist and then had a relapse. This just isn’t the case. Sadly, what happens for these men is that beginning total androgen blockade has very little effect—again, suggesting [...]
There are many variations, but the basic means of access is the transperineal approach, reaching the prostate through the perineum, the area between the scrotum and rectum. Before beginning interstitial brachytherapy, you should undergo an extensive physical examination and a cystoscopy to evaluate your particular anatomy and make sure the cancer is contained within the [...]
Fewer of the married homosexual offenders than the married members of any other group had extramarital coitus; the homosexual offenders vs. minors, with 39 per cent experienced, fall midway between the two other homosexual-offender groups. In age-specific incidence of extramarital coitus with companions they are always in the lower third of the rank-orders. Concerning extramarital [...]
Like all incest offenders, few of these men had records of juvenile offenses, and few of the offenses were serious enough to merit incarceration for six months or more. Moreover, they are one of the three groups (including the incest offenders vs. adults) whose members had no juvenile sex-offense records.
They became involved with the courts [...]
The incidence of postpubescent masturbation among aggressors vs. adults, and the median age at which it began, are in no way noteworthy.
The tendency to have high frequencies of masturbation before marriage, which we saw in the aggressors vs. minors, is seen again among the aggressors vs. adults. The mean frequency remains high between the ages [...]
While in comparison with other groups the heterosexual offenders vs. adults had a great deal of premarital heterosexual outlet, they nevertheless display the second highest percentage (86 per cent) of individuals who had nocturnal emissions. Eighteen per cent had ejaculations during sleep never accompanied by a dream insofar as they could recall; this is the [...]
Approximately two thirds of the control and prison groups are Protestant and one quarter are Catholic. Jews arc slightly underrepresented in the control group and are, as is generally the case, rare in the prison group. The religious composition of the sex offenders differs: about three quarters are Protestant, one fifth Catholic, and only .1 [...]