The link between Erectile Dysfunction and prostate cancer treatment
Erectile dysfunction (ED) is a potential complication after prostate cancer treatment. Sexual dysfunction after radical prostatectomy affects 25-75% of men1.
A SEX LIFE AFTER PROSTATE CANCER
The nerves that control an erection lie very close to the prostate, and may be injured during prostate cancer treatment. Prostate cancer treatments can affect your ability to get an erection on a temporary or permanent basis. If normal sexual function does not return, treatment options are available.
WHICH COMES FIRST
The return to normal sexual function after prostate cancer treatment depends on your sex life before surgery, a supportive partner, the stage of your cancer, and the surgery itself. Many men begin to see a return to normal erections within 3 to 6 months of prostate cancer treatment2. Other men find that their erections do not return. Should erectile dysfunction persist, there are treatment options for every man. Why wait, if you feel you are not seeing a return of your erections 6 months after your cancer treatment, talk to your urologist for what options might be suitable for you.
WHY WAIT? TAKE CONTROL
Your erectile dysfunction treatment may actually start before surgery with oral medications. A penis pump may be added after surgery to help increase blood flow to your penis during recovery. If ED persists, the penile implant may be an option. The implant is concealed inside the body. It offers support for an erection whenever and wherever desired.
Many patients find support from patient associations helpful during recovery after prostate cancer treatment. They may even have a chapter in your area.
Prostate Cancer UK: http://www.prostatecanceruk.org
Movember Foundation: http://www.movember.com
DID YOU KNOW?
Sexual dysfunction after radical prostatectomy affects 25-75% of men1.
WHAT YOU NEED TO KNOW
For men facing prostate cancer, the first worry is about dying. The second worry is whether the treatment will kill their sex life.
- Even with nerve-sparing robotic surgery, erectile dysfunction may persist a year or more after surgery3
- Penile implants have helped men return to an active, satisfying sex life after prostate cancer
RECOVERY TAKES TIME
What does recovery mean to you? Some men define it as a return to confident sex4. It is common for men to start with oral medications before or after surgery. Other treatment options include penile implants, vacuum devices, topical cream, injections and urethral pellets. Some treatments may be more effective than others for you. For men with long-term erectile dysfunction, penile rehabilitation may help3.
ACHIEVING A SATISFYING SEX LIFE
Finding a satisfying solution to erectile dysfunction can be a life-changing event for many men and their partners. In one study of 200 patients and 120 partners, both men and their partners found the penile implant to be satisfying. 92% of patients and 96% of their partners reported sexual activity to be excellent or satisfactory5. Talk to your doctor about your treatment options.
- Matthew AG, Goldman A, Trachtenberg J, et al. Sexual dysfunction after radical rostatectomy: prevalence, treatments, restricted use of treatments and distress. J Urol. 2005 Dec;174(6):2105-10.
- Catalona, Dr. William J. Sexual Potency After a Radical Prostatectomy. http://www.drcatalona.com/qa/faq_rp-potency.asp. Urological Research Foundation Website. Accessed December 22, 2014.
- Haglind E, Carlsson S, Stranne J, et al. Urinary Incontinence and Erectile Dysfunction after Robotic Versus Open Radical Prostatectomy: A Prospective Controlled Nonrandomized Trial. Eur Urol. 2015 Mar 11.Pii: S0302-2838(15)00194-3.
- Wittmann D, Carolan M, Given B, et al. What couples say about their recovery of sexual intimacy after prostatectomy: Toward the development of a conceptual model of couples’ sexual recovery after surgery for prostate cancer. J Sex Med. 2015 Feb;12(2):494-504.
- Mulhall JP, Bivalacqua TJ, Becher EF. Standard operating procedure for the preservation of erectile function outcomes after radical prostatectomy. J Sex Med. 2013 Jan;10(1):195-203.
- Montorsi R, Rigatti P, Carmingnani G, et al. AMS three-piece inflatable implants for erectile dysfunction: a long-term multi-institution study in 200 consecutive patients. Eur Urol. 2000;37:50-55.
Dear Visitor, please be informed that this website has been set up to ensure due and lawful access to our visitors, depending on their country of residence. In order to be directed to the relevant web portal, you are required to select the country in which you reside from the right-hand menu of options on the home page. We would like to remind you that it is your sole responsibility to correctly choose the country from which you wish to access the website. Please be aware that selecting a country that differs from the one from which you are connecting, could lead to you viewing information that may not be legally allowed under the laws of your country of residence. Should this occur, Boston Scientific declines any liability as to your access to such information. By ticking the box below, you confirm your understanding and acceptance of the statements of this disclaimer.