Q. What happens when you have prostate cancer surgery?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Prostate cancer surgery involves the removal of all or part of the prostate gland. This is done to treat early-stage, localized prostate cancer that has not spread beyond the confines of the prostate. When a patient undergoes a radical prostatectomy (surgical removal of entire prostate) or a partial or segmental resection (removal of part), he will most likely experience some side effects such as impotence and incontinence.

Impotence, also known as erectile dysfunction (ED), occurs when nerve damage from surgery causes disruption in communication between brain and penis, leading to insufficient blood flow to achieve an erection. In many cases, this can be reversed with medications that open up blood vessels and allow more penile blood flow such as Viagra® or Cialis®, but there may be permanent ED even with these medications in some cases.

Incontinence is another common issue after a radical prostatectomy. Often times men experience leakage of urine due to weakened pelvic floor muscles that no longer function properly without assistance from drugs like oxybutynin chloride (Ditropan XL®), solifenacin succinate (VESIcare™) and trospium chloride extended release capsules (Sanctura XR®). In severe cases, urinary diversion surgeries are performed which reroute urine through an artificial opening called stoma near abdomen for drainage into external collection bags until new pathways can be developed internally for long-term control over bladder function .

The success rates for each treatment depend on individual risk factors such as age at diagnosis as well as tumor size and stage; however typically patients who opt for surgical treatments tend to have greater five-year survival rates than those who opt only for radiation therapy despite potential side effects listed above according to numerous clinical studies published by The New England Journal Of Medicine and The American Urological Association Journal among others.

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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?

Doctor Answer is medically reviewed by SecondMedic medical review team.

Answered by Secondmedic Expert

Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:

1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.

2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.

3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.

4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.

5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.

6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.

7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.

Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.

Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.

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