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Straightforward education on erectile dysfunction, venous leak, and real-world solutions

A man in his sixties writing a list in a notebook at a kitchen table.

WHAT'S NEW

Before Prostate Treatment: The Sexual-Function Questions to Ask

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A man in his sixties writing a list in a notebook at a kitchen table.
Prostate

Before Prostate Treatment: The Sexual-Function Questions to Ask

Sexual function is usually discussed once, briefly, in a consultation dominated by cancer. These are the questions worth asking before a treatment is chosen, and who should be in the room for them.

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A weekly pill organiser open on a kitchen counter beside a glass of water.
Prostate

Penile Rehabilitation After Prostate Treatment: What the Evidence Supports

Rehabilitation protocols after prostate treatment rest on sound reasoning about tissue oxygenation, but the human trials are more equivocal than the confidence behind the prescriptions. What the st...

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A man in his late sixties and his wife sitting together on a sofa in afternoon light.
Prostate

Androgen Deprivation Therapy: Desire, Erections, and What Returns

Hormone therapy suppresses desire before it affects erections, which makes it a different problem from post-surgical erectile dysfunction. What changes, in what order, and what the data show about ...

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A man in his sixties sitting at a kitchen table in morning light, a wall calendar on the wall behind him.
Prostate

Radiation Therapy and Erectile Function: Why the Decline Comes Later

After surgery, erectile dysfunction begins immediately. After radiation it develops gradually over two to three years, through a different mechanism. What the long-term trial data show, why the dec...

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Nigel Shaw, founder of Xialla, smiling in a living room, wearing glasses and a linen shirt.
Prostate

Enlarged Prostate, Uremia, and Kidney Failure: A Patient Case

This is my personal story of benign prostatic hyperplasia (BPH), obstructive kidney damage, the “uremic fog” that can accompany it, and the remarkable recovery that followed proper treatment. I’m s...

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A man in his forties resting his chin on his hands at a desk, looking directly at the camera.
Prostate

Sexual Function After Prostate Surgery

Radical prostatectomy remains a primary treatment for localized prostate cancer. Survival has improved with earlier detection, but sexual side effects are common and often under-explained before su...

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Two hands resting side by side on a woollen blanket, one reaching toward the other.
Prostate

Prostate Screenings: Importance and How to Prepare

Regular prostate screenings are essential for early detection of prostate cancer and other prostate-related issues. Learn why these screenings are crucial, how they can save lives, and how to prepa...

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A large pink cut-out sign reading "Love" mounted on a cream wall above flowers in bright sunlight.
Prostate

Masturbation and Prostate Health

Maintaining good prostate health is crucial for men, and regular ejaculation through masturbation can play a significant role. Discover how this natural practice helps reduce the risk of prostate ...

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A close photograph of a woman kissing a man's neck, both shown from the shoulders up.
Prostate

Regaining Erectile Function After Prostate Cancer

In 2007 I was diagnosed with prostate cancer after routine tests showed that I had slightly elevated PSA (prostate-specific antigen). A biopsy confirmed an early-stage cancer and in October 2007, I...

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