Regaining Erections After Prostatectomy
Here are effective strategies and treatments to help you regain the ability to achieve erections after a prostatectomy.

Erectile dysfunction (ED) is a common challenge for men following prostate surgery, particularly radical prostatectomy, due to the potential damage of the cavernous nerves during the procedure. While recovery takes time, there are effective strategies and treatments to help you regain the ability to achieve erections.

The Road to Recovery

After surgery, erectile function may return gradually over months or even years. The degree of recovery depends on factors such as age, pre-surgery erectile health, and whether nerve-sparing techniques were used during the operation.

Treatments to Support Recovery

  1. Medications: PDE5 inhibitors like Viagra (sildenafil) or Cialis (tadalafil) enhance blood flow to the penis, helping stimulate erections.
  2. Vacuum Erection Devices (VEDs): These mechanical devices create a vacuum around the penis, drawing blood in to produce an erection.
  3. Penile Injections: Injectable medications can provide immediate, strong erections for men who don’t respond to oral drugs.
  4. Penile Implants: For severe, persistent ED, surgically implanted devices offer a long-term solution.
  5. Penile Rehabilitation: Early intervention with medications or devices can prevent long-term tissue damage and support natural erectile recovery.

Lifestyle and Emotional Considerations

  • Healthy Habits: Regular exercise, balanced nutrition, and quitting smoking promote better blood flow and overall health.
  • Pelvic Floor Exercises: (AKA Kegel exercises) strengthen pelvic muscles, which may enhance erectile function.
  • Emotional Support: Anxiety and stress can worsen ED. Open communication with your partner and counselling can ease emotional barriers.

Patience is Key

Erectile recovery is gradual, with many men seeing improvements within the first 9 – 12 months. With the right medical guidance and perseverance, most men can regain satisfying sexual function.

For tailored advice, consult a healthcare provider specialising in post-prostatectomy care.

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