I occasionally do book reviews, and am really excited about this one. I recommend it sight unseen because the author is one of the foremost experts in the world on prostate cancer and sexuality. The book is titled:
“Saving Your Sex Life: A Guide for Men with Prostate Cancer”
by Dr. John Mulhall
(Hilton Publishing Company, 2008. Avalable at Amazon.com for $18.95)
I haven’t had a chance to read this book yet, but I wanted to get the news out. So I am providing excerpts from a review written by the Canadian Prostate Cancer Network (cpcn.org)
*I am also including a link to an article which appeared today in a medical journal. It features a full-length interview with Dr. Mulhall.* I suggest you read it as well. (The following is all one URL, you must cut and paste.) Here is a sample:
‘The most important thing is to convey realistic expectations. I tell all the patients who come to see me the same thing: Don’t base your decision[on which treatment to opt for] on sexual function. After three years, the outcomes from all the procedures are the same. Patients need to make an informed decision. If they don’t know what questions to ask and the physician doesn’t bring up sexual function, they’re going to make an ill-informed decision. Every day I have a man sit in front of me with tremendous regret—with tears in his eyes—who tells me, ‘If I had known it was going to be like this, I would have never opted for that treatment.’ Such patients weren’t given realistic expectations’.
Book Review from cpcn.org:
“Saving Your Sex Life: A Guide for Men with Prostate Cancer”
“Dr. John Mulhall has devoted much of his working life to studying and treating the sexual difficulties associated with prostate cancer and its therapy. He is currently Director of the Sexual and Reproductive Medicine Program in the Division of Urology at the Memorial Sloan-Kettering Cancer Center of New York. . . .
He reports that, in his practice at Memorial Sloan-Kettering, he sees more than 600 radical prostatectomy patients, approximately 150 radiation patients, and about 100 hormone therapy patients each year. They are all interested in pursuing improved sexual health following a prostate cancer diagnosis and treatment.
“Yet, according to Mulhall, ‘The simple fact of the matter is that most physicians and patients do not talk about sexual health in a routine medical interview.’ Sometimes, he suggests, doctors treating men who have prostate cancer shy away from discussing in detail various of the possible side effects or complications of particular treatments. Their main initial focus is to save their patients’ lives, of course. But an information gap is often the result.
“Consequently, Mulhall sees a need for solid, credible information, communicated in plain English, about the possible impact of prostate cancer on sexual function and on what options are available to treat sexual dysfunction and help men and their partners overcome the sexual problems associated with this disease and its treatment.
“His book, ‘Saving Your Sex Life: A Guide for Men with Prostate Cancer’, fits the bill. It is ‘aimed at giving you state-of-the-art, up-to-date, comprehensive information on the impact of prostate cancer treatments on your sexual function and what options are available to you for the treatment of such sexual problems,’ writes Mulhall.
“Chapters describe the basics of male sexual function, the connection between prostate enlargement and sexual dysfunction, the impact of a prostate cancer diagnosis on sexual function, and the possible effects of radical prostatectomy, prostate radiation, and hormone therapy on sexual function. Mulhall continues by examining various options available to avoid or treat sexual dysfunction, including penile rehabilitation and preservation, drugs such as Viagra, intra-urethral suppositories, penile injections, vacuum devices, penile implants, and other emerging therapies.
“His book is comprehensive and has obviously been written to answer the many questions patients have asked him in the course of his practice. ”Why am I experiencing urine leakage during sex?’ ‘Can I still father children?’ ‘My penis seems shorter now. Is that normal?” ‘ What are the risks of testosterone supplementation? Mulhall’s direct, open, and intelligible answers are obviously the result of considerable experience and research, and they convey the doctor’s concern for his patients as well as his very effective “bedside manner.” Here is a sample:
“It is surprising to me how many men come in to see me after radical prostatectomy who are not aware that they will not ejaculate again. While some physicians may not tell their patients about this, there are patients who are so stressed before surgery that they simply forget what was told to them. . . If a man who remains interested in future fertility, it is important that he banks sperm prior to the procedure. Banking sperm is a process by which a man masturbates into a cup and the semen is then examined and frozen (cryo-preserved) for future thawing and use down the road (p. 121-122)”.
“As you can see, the prose is easy to understand, and there is no dithering or avoidance of the facts. . . Dr. Mulhall’s book is an excellent resource for men with prostate cancer and their partners. It answers all those questions about sexual function after prostate cancer diagnosis and treatment that men and their loved ones may not have asked.” . . .
Thanks for posting the review of Dr. Mulhall’s book on prostate cancer and sexuality.
Most of us prostate cancer patients or survivors can readily agree with his basic premise that all too many doctors fail to spell out the treatment side effects of sexual dysfunction and how to overcome ED through medical means.
When I get the book I’ll be particularly interested to see find out if provides case examples of how fellow survivors coped not just with the physical outcome of so many treatment options, but with deeper and broader issues of men’s “altered” self-image and personal relationships affecting them and their wives or partners, and how to overcome such vital concerns.
As I point out in the sexual chapters of my book, Conquer Prostate Cancer (www.ConquerProstateCancer.com), such social-interpersonal consequences are of even greater importance than the physical fact that so many of us end up with ED to one degree or another.
Based on the review you cited, it appears that his book is far more straight-forward than most doctors’ verbal explanations, not to mention waiting room brochures. Along these lines I hope he shares some of his colleagues professional and personal reasons for not putting greater emphasis on such major sexual and personal concerns we survivors and patients share. I also hope he’s added more hopeful depictions and statistics about men who resumed sexual relations in a satisfactory manner, especially when new modes of sexual expression are required.
Thanks again for taking the time to let your readers know that this valuable new book is available.
Thank you for taking the time to make your readers aware of this valuable resource!
Unfortunately, many men are not prepared for the effect their prostate cancer treatment will have on their sexual function. This is a topic which needs to get far more media attention so that more men are aware of this devistating side effect.
Dr. Mulhall’s book is much needed and will enpower men to make informed, educated decesions about their health.
[…] a lot of information online about these solutions, and several books, too, such as Saving Your Sex Life: A Guide for Men with Prostate Cancer, by Dr. John Mulhall. Your spouse’s urologist should be able to help, too. Set aside some […]
Ive had the Devinci surgery and they say I am cancere free. Thats the good part they never told me the rest and I had it done by the most reputable euro in the Des Moines area.
so now I cant get up, I can try to jack soft, but almost no libido, and my euro talked to me about implant,so whats a hard penis with no libido etc.
Thanks for the ressponse
I am starting to believe that frank discussions impact the decision to have surgery and biopsy.. Have a 4k score blood test done if PSA is high to see if a biopsy is even necessary. Then have a Prolaris test done of the biopsy samples to see how aggressie the cancer is before you get treatment.