Sex after Prostate Surgery
The resumption of sexual function after prostate surgery can take time. Erectile dysfunction (ED) symptoms just after prostate removal are a normal part of recovery and are not an indication of permanent change. Most patients are able to resume normal sex lives with complete erectile function in 12 to 24 months. Younger patients may experience faster or improved results.
It is Dr. Samadi’s unique SMART surgery that enables these improved recovery results and helps patients return to an enjoyable sex life after prostate removal. His preservation of the endo pelvic fascia and neurovascular bundles, as well as the elimination of cautery, all work to reduce nerve damage and speed sexual performance recovery.
There are several treatment options to assist you during recovery or to address ED that continues beyond 24 months. Dr. Samadi is dedicated to helping his patients through this process and will work with men and their partners to find the right solution for sexual wellbeing after prostate cancer surgery.
Oral ED Medications
During your recovery it is important to celebrate your victories. You are cancer-free! Take time to enjoy intimacy with your partner and reestablish your physical and emotional connection. The easiest first step is to try oral medications to assist with achieving and maintaining an erection. These include prescriptions such as Viagra® (sildenafil citrate), Levitra® (vardenafil), and Cialis® (tadalafil). Most patients experience very positive results with these ED drugs.
Penile Injection Therapy
If ED medication is not successful, don’t be discouraged. Sexual activity and “exercising” the penis is an important part of sexual recovery. Some research shows that erections can enhance oxygenation of tissue and suppress scarring. It could take time for your nerves to regenerate and recover enough to respond to medication assistance. In the meantime, penile injection therapy is a very reliable and effective option for achieving an erection. Injection therapy may also improve your return to normal function.
In some patients, erectile function may not return after radical prostate removal. These men are encouraged to explore highly successful penile implant surgery. A penile implant offers a permanent solution to ED and delivers a very high satisfaction rate for patients and their partners. If needed, Dr. Samadi will refer patients with advanced ED to a specialist with expertise in penile implant surgery.
Orgasm and Ejaculation
Since the prostate is responsible for producing ejaculate, ejaculation ceases once it is removed. You will still be able to achieve and enjoy orgasm after robotic prostatectomy surgery.