Welcome!

News Feed Item

After Prostate Cancer Treatment, What Should I Take: Viagra, Levitra, Or Cialis?

David Samadi, MD, world-renowned robotic prostate cancer surgeon, recommends erectile dysfunction (ED) medication to men during prostate cancer recovery.

NEW YORK, Nov. 15, 2012 /PRNewswire/ -- A variety of medical conditions and treatments can contribute to erectile dysfunction (ED). After robotic prostate surgery, it is common for men to experience short-term sexual potency issues. Dr. David Samadi's SMART (Samadi Modified Advanced Robotic Technique) robotic surgery greatly reduces the risk of nerve bundle damage and delivers superior prostate cancer treatment results.

(Photo:   http://photos.prnewswire.com/prnh/20121115/NY13851 )

To facilitate sex after prostate cancer and speed the restoration of natural erections, Dr. Samadi often recommends PDE-5 (phosphodiesterase) inhibitors such as Viagra, Levitra, and Cialis, as a first-line treatment for erectile dysfunction (ED). Among these three commercially available PDEIs, analysis shows comparable efficacy. Randomized, controlled studies have shown small, but not statistically or clinically significant differences exist among the three drugs.  

Q:  What are the differences among Viagra, Levitra, and Cialis?

A:  These drugs all belong to a class of medication known as phosphodiesterase inhibitors (PDEIs) and work by the same mechanism. Choosing one drug over the other depends on their onset of action, duration, contraindications, and other individualized preferences. However, because they are similar, if you are unable to see results with one, it is unlikely that another in the same class would work.

Q:  What are the side effects of PEIs?

A:  As with all drugs, there are side effects when using PDEIs. Deciding which one is more tolerable is a matter of choice. Examples of reported side effects include back pain with Cialis and light sensitivity with Viagra.

Q. How will my doctor determine which ED medication is right for me?

A:  Although PDEIs have similar efficacy, your urologist will consider several factors when recommending ED medication: 1) your preference for or perceptions about a particular PDEI, 2) cost of the treatment, 3) the duration of action or how long the erection is likely to last, 4) your desired frequency for sexual intercourse, and 5) the unique adverse-effect profile.

Following are overviews of these three commonly used ED medications:

Viagra Usage (Sildenafil)

  • Onset of action: 30 minutes
  • Duration of action: 4-6 hours (on average 4 hours)
  • Consuming meals high in fat may hinder speed of action
  • Initial recommended dose: 50 mg
  • Recommended dose in patients over 65: 25 mg
  • Side effects may include: headache, flushing, sensitivity to light, upset stomach, runny nose, or abnormal vision

Levitra Usage (Vardenafil)

  • Onset of action: 30 minutes
  • Duration of action: 4-6 hours (on average 5 hours, typically longer than Viagra)
  • Consuming meals high in fat may hinder speed of action
  • Initial recommended dose: 10mg
  • Recommended dose in patients over 65:  5mg

Cialis Usage (Tadalafil)

  • Onset of action: 30 minutes to 2 hours
  • Duration of action: 36 hours (longest of the three PDEIs)
  • NOT affected by consuming fatty foods
  • Initial recommended dose: 10 mg
  • Recommended dose in patients over 65: 10 mg
  • Side effects may include: headache, upset stomach, back pain, or runny nose

Patients who have ED secondary to radical prostatectomy, diabetes mellitus, or severe peripheral vascular, have a lower response rate than those with no comorbidities. Diseases that contribute to injury or compromise of the blood supply or innveration to the corpus cavernosa may be responsible for the lack of success in patients who suffer from them. Dosing will vary in patients with kidney failure, liver failure, or other medical conditions.

Dr. David Samadi is Vice Chairman, Department of Urology and Chief of Robotics and Minimally Invasive Surgery at The Mount Sinai Medical Center in New York where he has performed more than 4,000 successful SMART robotic prostatectomy procedures. Within just a year or two after surgery, 85 percent of his patients regain sexual potency.

Related Links:

http://www.roboticoncology.com
http://www.smart-surgery.com

Related Videos:

Erectile Dysfunction Treatment News: Viagra, Cialis, & Levitra - Good Day New York – Click Here
http://www.youtube.com/watch?v=FsTLhLkDiAA&feature=plcp

SEX AFTER PROSTATE CANCER : A Candid Look – Click Here
http://www.youtube.com/watch?v=s7I0Q7mGhE0&feature=plcp

SMART Robotic Prostate Surgery - David Samadi, MD – Click Here
http://www.youtube.com/watch?v=wRNPA5npn6Y&feature=plcp

SOURCE roboticoncology.com

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
SYS-CON Events announced today that Calligo, an innovative cloud service provider offering mid-sized companies the highest levels of data privacy and security, has been named "Bronze Sponsor" of SYS-CON's 21st International Cloud Expo ®, which will take place on Oct 31 - Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. Calligo offers unparalleled application performance guarantees, commercial flexibility and a personalised support service from its globally located cloud plat...
As enterprise cloud becomes the norm, businesses and government programs must address compounded regulatory compliance related to data privacy and information protection. The most recent, Controlled Unclassified Information and the EU’s GDPR have board level implications and companies still struggle with demonstrating due diligence. Developers and DevOps leaders, as part of the pre-planning process and the associated supply chain, could benefit from updating their code libraries and design by in...
There is a huge demand for responsive, real-time mobile and web experiences, but current architectural patterns do not easily accommodate applications that respond to events in real time. Common solutions using message queues or HTTP long-polling quickly lead to resiliency, scalability and development velocity challenges. In his session at 21st Cloud Expo, Ryland Degnan, a Senior Software Engineer on the Netflix Edge Platform team, will discuss how by leveraging a reactive stream-based protocol,...
"Peak 10 is a hybrid infrastructure provider across the nation. We are in the thick of things when it comes to hybrid IT," explained Michael Fuhrman, Chief Technology Officer at Peak 10, in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
"We were founded in 2003 and the way we were founded was about good backup and good disaster recovery for our clients, and for the last 20 years we've been pretty consistent with that," noted Marc Malafronte, Territory Manager at StorageCraft, in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
DevOps at Cloud Expo, taking place October 31 - November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 21st Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to w...
Internet of @ThingsExpo, taking place October 31 - November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 21st Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The Internet of Things (IoT) is the most profound change in personal and enterprise IT since the creation of the Worldwide Web more than 20 years ago. All major researchers estimate there will be tens of billions devic...
"The Striim platform is a full end-to-end streaming integration and analytics platform that is middleware that covers a lot of different use cases," explained Steve Wilkes, Founder and CTO at Striim, in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
"We are focused on SAP running in the clouds, to make this super easy because we believe in the tremendous value of those powerful worlds - SAP and the cloud," explained Frank Stienhans, CTO of Ocean9, Inc., in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
"We are still a relatively small software house and we are focusing on certain industries like FinTech, med tech, energy and utilities. We help our customers with their digital transformation," noted Piotr Stawinski, Founder and CEO of EARP Integration, in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
"At the keynote this morning we spoke about the value proposition of Nutanix, of having a DevOps culture and a mindset, and the business outcomes of achieving agility and scale, which everybody here is trying to accomplish," noted Mark Lavi, DevOps Solution Architect at Nutanix, in this SYS-CON.tv interview at @DevOpsSummit at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
"DivvyCloud as a company set out to help customers automate solutions to the most common cloud problems," noted Jeremy Snyder, VP of Business Development at DivvyCloud, in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
DX World EXPO, LLC., a Lighthouse Point, Florida-based startup trade show producer and the creator of "DXWorldEXPO® - Digital Transformation Conference & Expo" has announced its executive management team. The team is headed by Levent Selamoglu, who has been named CEO. "Now is the time for a truly global DX event, to bring together the leading minds from the technology world in a conversation about Digital Transformation," he said in making the announcement.
21st International Cloud Expo, taking place October 31 - November 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Me...
Kubernetes is an open source system for automating deployment, scaling, and management of containerized applications. Kubernetes was originally built by Google, leveraging years of experience with managing container workloads, and is now a Cloud Native Compute Foundation (CNCF) project. Kubernetes has been widely adopted by the community, supported on all major public and private cloud providers, and is gaining rapid adoption in enterprises. However, Kubernetes may seem intimidating and complex ...