Erection After Prostate Removal: What To Expect And How To Recover
With the right strategies, men regain sexual function over time.
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By Darren Davey Mens Health Prostate Surgery Recovey 11 March 2025

Erectile dysfunction (ED) is a common side effect of prostate removal, also known as radical prostatectomy. This occurs because the surgery can temporarily or permanently damage the nerves and blood vessels responsible for achieving an erection. However, with the right strategies, many men regain sexual function over time.

Recovery Timeline

The timeline for erectile recovery varies widely:

  • Immediate Post-Surgery: Nearly all men experience ED initially.
  • Within 9-18 Months: Significant improvement can be seen, especially with nerve-sparing techniques.
  • Up to 2 Years: Some men continue to see gradual recovery.

Factors Influencing Recovery

Key factors include:

  • Age and overall health.
  • Pre-surgery erectile function.
  • Whether the nerves were spared during surgery.

Treatment Options

A range of treatments can support recovery:

  1. Medications: Drugs like Viagra or Cialis can improve pelvic blood flow to the recovering nerves and support erections.
  2. Vacuum Erection Devices (VEDs): These help create erections mechanically by drawing blood into the penis.
  3. Penile Injections: Direct injections stimulate blood flow for stronger erections.
  4. Penile Implants: These are a surgical solution for men who don’t respond to other treatments.

Penile Rehabilitation

Penile rehabilitation programs encourage blood flow to the penis soon after surgery to prevent tissue scarring and maintain function. This may involve a combination of medications, devices, and lifestyle changes like pelvic floor exercises.

Lifestyle Tips

  • Exercise Regularly: Helps with overall circulation.
  • Quit Smoking: Smoking can worsen ED.
  • Eat a Balanced Diet: Supports nerve and vascular health.

Emotional Well-Being

The emotional toll of ED after prostate removal can be significant. Open communication with your partner and seeking counselling can ease stress and improve intimacy.

Although the road to recovery can be challenging, most men are able to enjoy a fulfilling sex life post-surgery with patience and the right medical support. For detailed treatment options and advice, consult a healthcare provider.

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