ErecTrack

How the evaluation works

The ErecTrack is set up to accommodate automated patient evaluations. This allows practitioners to email the patient a link to the ErecTrack. The patient completes the ErecTrack in their personal patient EVAL portal (me.eval.health). Based on the patient's response to the questions, results will appear instructing the patient accordingly. Additionally, the results will be automatically sent for practitioner review in the practitioner portal (eval.health). The practitioner may see additional results that the patient cannot see to guide in management based on how the questions were answered by the patient. For more details on how the ErecTrack is set up, click on the green button called, "Builder" in the upper right to inspect the code.

Questions & Choices

Additional Results: 

• Your results will be reviewed within 72 business hours. +instructions

Results appear in the following order

• CRITICAL: Stop medication. Call Clinic due to an erection lasting more than 2 hours. (Critical Flag) - Patient & Practitioner
• Bruising (Low Flag) - Patient & Practitioner
• Swelling (Low Flag) - Patient & Practitioner
• Your results will be reviewed within 72 business hours. - Patient & Practitioner
• Hardness erection < 6 (Moderate flag) - Practitioner only
• Penetration hardness ⪰ 90 minutes (Moderate Flag) - Practitioner only
• I don't know the name of my injection medication (moderate Flag) - Practitioner only
• Medication Name ## dosage (Low Flag) - Practitioner only
• Hardest erection > 5 (Low Flag) - Practitioner only
• Penetration hardness ≤ 89 minutes (Low Flag) - Practitioner only

About MSK

Men commonly experience changes in sexual and reproductive health during and after cancer treatment. Whether you are facing physical consequences such as erectile dysfunction or emotional effects such as lack of interest in sexual activity, you are not alone.

Experts at Memorial Sloan Kettering Cancer Center are dedicated to supporting men as they adjust to life during and after cancer treatment. Through this challenging time, our men’s sexual and reproductive medicine team can help you cope with the impact of cancer on you and your intimate relationships. We can provide therapies for dealing with the physical side effects and strategies for managing the emotional issues that may arise as a result of treatment.

Common Sexual Health Issues for Men with Cancer

The most common physical problems that men face following cancer treatment include:

• erectile dysfunction, or the inability to achieve or maintain an erection
• premature or delayed ejaculation
• physical deformities, such as curvature of the penis during erection (Peyronie’s disease), which can occur as a result of certain prostate cancer therapies
• fertility problems
• low testosterone levels

The anxiety surrounding a cancer diagnosis and the fatigue that accompanies treatment can also disturb your hormones and emotions, decreasing your desire for sexual activity. For example, the hormone adrenaline is released when you are worried, stressed, or angry — feelings that people with cancer may experience during various stages of the disease. Unfortunately, adrenaline is also a powerful hormone that prevents an erection from occurring.

Some men may also experience a loss of sexual confidence after cancer and its treatment. Restoring this self-assurance is a complex process that involves not only the patient, but his partner as well.

Personalized Sexual Health Resources at Memorial Sloan Kettering

Our men’s sexual and reproductive medicine team includes urologists, nurse practitioners, mental health professionals, social workers, and couples’ therapists who collaborate to provide individualized care for each patient. This group is led by urologist and microsurgeon John Mulhall.

Most men can be successfully treated for cancer-related sexual problems. In fact, our experts have treated men of all ages with various types of cancer.

Your care team will take a multidisciplinary approach to discussing and addressing your physical and emotional concerns related to sexual health. We will also take a full medical history to identify additional risk factors for sexual health problems, such high blood pressure, high cholesterol, and diabetes.

We use this information to develop a personalized treatment plan to help you manage the effects of cancer on your sexual health. Our strategies include:

• medications to treat erectile and ejaculatory dysfunction
• hormone replacement for low testosterone levels
• fertility preservation, including sperm extraction
• post-surgery rehabilitation programs, such as penile rehabilitation after prostate cancer surgery
• counseling for individuals and couples
• suggestions to enhance communication and intimacy with current or future partners

Our male sexual health specialists can provide these and other treatment options to help you overcome any barriers preventing you from achieving a high quality of life when it comes to your sexual health.

If you have sexual or reproductive health concerns related to cancer treatment, take action. Speak with someone on your medical team who can refer you to the Male Sexual Reproductive Medicine Program. You can also contact us directly at 646-888-6024.

• You are receiving this brief questionnaire because you are using penile injection therapy in our program. 
• Simply answer the following questions to the best of your ability.