Improper erection after prostatectomy: here are the causes and treatment


Sunday 30 October 2022

Books – Saber Najah:

Some men suffer from erectile dysfunction or lack of erection after surgical removal of prostate cancer, which makes them feel uncomfortable and anxious, because they are unable to practice intimacy efficiently.

In the following report, the Consultation examines the causes of erectile dysfunction after prostatectomy and its treatment, according to Healthline.

Read also: Prostate Cancer. Here is everything you need to know about the disease

Causes of erectile dysfunction after prostatectomy

There are two types of prostatectomy surgery and the doctor determines which one is most appropriate for the patient, based on the size of the tumor and its spread, namely:

– Nerve-sparing: that is the removal of the prostate without affecting the two nerve bundles that surround it.

Radical prostatectomy: in this surgery, the doctor must also remove the nerves, completely or only partially, due to the spread of cancer cells within them.

Men can develop erectile dysfunction after prostatectomy due to:

The nerves, muscles or blood vessels involved in the erection process are damaged during surgery.

Neurosurgery with the prostate.

You might be interested in: Prostatectomy. Learn more about the procedures and risks of surgery

When does the erection return after a prostatectomy?

According to the Prostate Cancer Foundation, about half of men regain the ability to have an erection after nerve-sparing surgery within about 12 months.

However, there are factors that can delay the recovery of an erection after a prostatectomy that should be considered, including:

– getting older.

Cardiovascular disease.


To smoke.


– obesity.

You may also be interested in: Why does prostate enlargement affect men’s sexual capacity?

Treatment of erectile dysfunction after prostatectomy

75% of men after nerve-sparing surgery regain the ability to have an erection by taking erectile dysfunction medications, such as Viagra.

But if these drugs are contraindicated, such as heart disease, the doctor may prescribe penis pumps, to improve the flow of oxygenated blood to the penis.

Read also: Due to illness – these people cannot take Viagra

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