Tobias S. Kohler

speaker

853 appearances 1 recordings 1 series first heard Sep 2026 last heard 5d ago

Tobias S. Kohler’s voice in public audio — every appearance, attributed to the second.

Trend

recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Sep 2026 with 1.

Appearances

newest first · ▶ plays the moment

The Dr. Gabrielle Lyon Show · ED Predicts Heart Attacks Better Than Chest Pain: The 2 Tests to Ask For | Dr. Tobias Kohler · 22 Sep 2026 podcast

There are things we can do to help rehabilitate the nerves and the blood flow or spare them in the first place, right?

So-called prehab.

Before you do the surgery, you kind of optimize things so they take less of a hit.

The number one predictor of a guy having problems with erections after a prostatectomy, a surgery to remove the prostate for cancer, is how good or bad the erections were before they had the prostatectomy.

But people with great erections they'll have they'll have to have this surgery because it's a cancer that is threatening their life.

And so you do a surgery and sometimes there's collateral damage.

In the vicinity of the prostate live the nerves and the blood vessels that feed the penis.

Those nerves either get temporarily or permanently injured, or those blood vessels, same, same approach.

So the field is moved to the point where, well, we know there's probably going to be some negative side effects from doing these types of surgeries.

How can we help?

Guys, best recower as quickly as possible.

And it involves using pills, using vacuum devices to help stretch the penis and exercise it.

And that helps prevent loss of length of the penis, the shots that we talked about.

And then if that fails, typically about a year after a surgery in which we know the erections are kind of gone, they're not coming back, we'll do the surgery if guys want to fix it.

Before I give you the specific number for surgery, not all prostate cancer is the same and not all of it merits surgery the next day.

Some of it you just watch and you die of something else.

But presumably you're treating a guy who has aggressive prostate cancer where if they don't treat it, they're gonna die likely within the next five to ten years.

You've got different options.

All of 'em hurt the people.

But you save the life.

Showing 721–740 of 853 · page 37 of 43