Cialis duration after SBRT

[Mike404]

I was prescribed Cialis as a possible protectant for radiation damage to blood vessels. I had a five session SBRT. A year out, I have few if any side effects. No erectile issues, but I’ve stayed on the Cialis on the assumption it might reduce future radiation damage.

My research indicated ED started years after radiation as blood vessels became degraded. If that’s so, it seems like the prophylactic dosing of Cialis might help, and probably doesn’t hurt. I’ve also stayed on tamsulosin, as I have a stronger stream with it.

Any research on optimal duration for Cialis? Any thought?

[Tall_Allen]

I stayed on daily Viagra (20mg) for about 9 months. I never had a problem. The goal is to avoid scar tissue in the penile arteries by protecting the walls of the blood vessels with nitric oxide. I probably didn't have to use it that long, but there was no downside and lots of upside.

[Whitby2]

I don't have any experience with tamsulosin after radiation. I was initially taking it for BPH with an increasing PSA & low level disease. Was on active surveillance. Then told to take it prior to a transperineum biopsy when PSA jumped. Gleason 4+3 result with ECE. My journey is about to start.

[BanjoPicker]

I was on 2/day tamsulosin before 43 IMRT hits. After the radiation my Urologist told me to take 1/day in the AM and take 1/day 5mg Cialis in the evening. Thirteen months post radiation I had a TURP proceedure. Told to continue tamsulosin for 1 month post surgery and continue on the one-a-day Cialis. I haven’t been told of an end date for the Cialis.

[JWS13 in reply to BanjoPicker]

do you still get erections? did the cialis work?

[BanjoPicker in reply to JWS13]

The Eligard shot I had before I started radiation caused me to have no erections and a general feeling that I would never be active again. Once I started daily Cialis, and the Eligard was out of my system, I began having normal morning erections. The purpose of daily Cialis is to improve blood flow to the area. Short answer…It works.

[Mike404]

Never had erection issues. Toward the end of ADT I had to force the interest, but no real problems. The Cialis was to prevent arterial degradation from radiation. I just have no idea how long to take it for that. It certainly doesn’t hurt the erections, so I’m staying in it for a while.