Prostatectomy Recovery | How To Avoid ED After Prostatectomy

Once you’ve had your prostate removed, you’re likely to experience erectile dysfunction (ED). At Victory Men’s Health, we get it – dealing with side effects like ED can be overwhelming. That’s why we’re here to help. With the right support, you can handle your recovery like a pro. 

In this blog post on prostatectomy recovery, our men’s health experts will break down what a prostatectomy involves, why it’s done, the side effects you might face, and most importantly, how to optimize your recovery and avoid long-term ED or impotence.

What is a prostatectomy?

Your prostate is a walnut-shaped gland below your bladder that adds fluid to semen and helps to push semen through your urethra. A prostatectomy is a surgical procedure to remove all or part of this gland, typically performed to treat localized prostate cancer. 

Radical prostatectomy is surgery to remove the entire prostate gland, along with surrounding lymph nodes. There are two main types of prostatectomy your healthcare provider may recommend: 

• Robotic Prostatectomy – This minimally invasive procedure uses robotic technology to assist the surgeon in removing your prostate. It offers the benefits of smaller incisions, less pain, and quicker recovery time.

• Open Prostatectomy – This traditional approach involves a larger incision to remove the prostate gland. While it may be medically necessary in some cases, an open prostatectomy generally involves a longer recovery period.

No matter which type of prostatectomy you undergo, you will most likely experience some degree of ED during the recovery. 

Why would I get my prostate removed?

The most common reason for prostatectomy, or prostate removal, is to treat prostate cancer. By removing the prostate, doctors aim to eliminate the cancer and prevent it from spreading to other parts of the body. Less common reasons for prostate removal may include the following: 

• Benign prostatic hyperplasia (BPH)
• Severe urinary symptoms
• Other prostate-related conditions that do not respond to less invasive treatments.

All men will likely experience ED after prostate removal.

While a prostatectomy can be life-saving, it’s important to understand the potential side effects. One of the most significant concerns for men undergoing this procedure is the risk of erectile dysfunction. 

Nearly all men will experience some ED in the first few months after treatment. 

However, with intact nerves and proper recovery strategies, most men experience major improvements in their erectile function within a year.

Other potential side effects include:

• Urinary Incontinence – Loss of bladder control can occur after surgery.
• Changes in Urinary Function – This may include increased frequency, urgency, or difficulty urinating.
• Changes in Sexual Function – Aside from ED, there can be changes in orgasmic function or libido. The prostate is responsible for producing ejaculatory fluid, so post-prostatectomy a man can orgasm, but will not ejaculate.
• Infertility – Removal of the prostate can sometimes lead to infertility, as the sperm is reabsorbed through the body instead of ejaculated.
• Bowel Dysfunction – In rare cases, bowel problems can occur.

Prostatectomy Recovery: What to Expect

Recovery from a prostatectomy varies from person to person, but here are some general expectations to be aware of. 

• Hospital Stay: Most prostatectomy patients stay in the hospital for one to two days following the surgery.
• Catheter Use: You’ll likely need to use a catheter for a week or two to help with urination while your body heals.
• Activity Level: It’s important to limit physical activity for a few weeks, gradually increasing as your body recovers.
• Follow-Up: Regular follow-up appointments with your healthcare provider are crucial to monitor your recovery and address any concerns.

How to Optimize Your Recovery and Avoid ED

Recovering from a prostatectomy can be a challenging journey, but with the right strategies, you can optimize your recovery and minimize the risk of erectile dysfunction. Here at Victory Men’s Health, we believe in taking a proactive approach to your health. 

By following a few key steps, you can enhance your recovery process and improve your overall well-being.

• Pelvic Floor Exercises: Start practicing Kegel exercises to strengthen your pelvic floor muscles, which can help improve urinary control and sexual function.
• Healthy Lifestyle: Maintain a nutritious diet, stay hydrated, and avoid smoking and excessive alcohol consumption.
• Medications: Your provider may prescribe ED medications like PDE-5 inhibitors (Viagra, Cialis) to help improve erectile function. Specifically, daily 5mg Cialis (tadalafil) is often used and can also help with urination. Studies also show that it can help prevent lost of penile length post-prostatectomy. 
• Physical Therapy: Consider physical therapy specifically designed for pelvic floor rehabilitation.
• Vacuum Pump Device: A penis pump is an often overlooked penile rehabilitation tool. Doing this as an exercise after prostatectomy can help men regain function and decrease the risk of penile shrinkage. 

What do I do if I get ED after prostatectomy?

Experiencing erectile dysfunction after a prostatectomy can be frustrating. However, it’s important to remember that there are several effective treatments available to help you regain your sexual function. At Victory Men’s Health, we offer a comprehensive range of therapies to address ED and support your recovery.

The following treatment options are available if you get ED after prostatectomy: 

1. PDE-5 Inhibitors
2. Wave Therapy
3. Priapus Shot
4. Vacuum Pumps
5. Trimix Injections
6. Testosterone Therapy 

PDE-5 Inhibitors

Medications such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil) are often the first line of treatment for ED and are most effective when started immediately following surgery, according to Dr. Yablonsky with Victory Men’s Health. These drugs work by increasing blood flow to the penis, helping to achieve and maintain an erection.

Wave Therapy

Wave therapy is a non-invasive treatment that uses sound waves to improve blood flow and stimulate the growth of new blood vessels in the penis, enhancing erectile function.

Priapus Shot

Also known as the P-Shot, this treatment involves injecting your platelet-rich plasma (PRP) into the penis to promote tissue growth and improve blood flow.

Vacuum Pumps

A vacuum erection device creates a vacuum around your penis, drawing blood into it and helping to achieve an erection. If you’re looking for a non-invasive option, vacuum pumps can be an effective choice.

Trimix Injections

This treatment involves injecting a combination of medications (formulated for you as an individual) directly into the penis, producing a strong and reliable erection. It’s particularly useful for men who don’t respond to oral medications. Trimix can be used as needed and you can stop at any time if function improves over the recovery process. Most men have great success with this medication and quickly get over the fear of a needle when they see how well it works.

Testosterone Therapy

For men with low testosterone levels, testosterone therapy (TRT) can improve libido and erectile function. If you’re considering TRT, our team will assess your hormone levels and create a personalized treatment plan to optimize your sexual health.

Prostatectomy FAQ

What are the odds of having erectile dysfunction after prostatectomy?

Nearly all men experience some degree of erectile dysfunction immediately following a prostatectomy. However, most men see significant improvement within a year.

How long does erectile dysfunction last after prostate surgery?

ED can last for several months to a year or more after prostate surgery. Recovery time varies from patient to patient, but it’s best to work with experienced men’s health providers who can monitor your progress and tailor a treatment plan for your specific needs.

How painful is the recovery from a prostatectomy?

Pain levels can vary, but many of the men who come to us for help after a prostatectomy report manageable pain that can be controlled with medication. Minimally invasive procedures like robotic prostatectomy generally result in less pain and quicker recovery times.

Can you live a normal life after prostate removal?

Yes! Many men live normal, fulfilling lives after prostate removal. With effective management and support, you can recover well and regain your quality of life.

What is the most common problem after prostatectomy?

Erectile dysfunction and urinary incontinence are the most common problems following a prostatectomy, but our team can help you address these issues and find solutions.

Can you still have an erection if your prostate is removed?

Yes. It is absolutely possible to have erections after prostate removal, especially if the nerve-sparing technique is used during surgery. If you had some degree of ED prior to your surgery, you’re more likely to have greater trouble post-surgery than someone who has never previously experienced ED. 

We go into this in detail with board-certified urologist Dr. Eric Kim in our Women Want Strong Men podcast episode on Demystifying the Prostate, which you can listen to below. 

How can I improve my erectile dysfunction after prostate surgery?

Practicing pelvic floor exercises, maintaining a healthy lifestyle, taking prescribed medications, and seeking ED treatments can all help improve ED after prostate surgery.

Why would a man have his prostate removed?

The primary reason for prostate removal is to treat localized prostate cancer. Other reasons may include severe urinary symptoms or benign prostatic hyperplasia that does not respond to other treatments.

Next Steps With Victory Men’s Health

Navigating prostatectomy recovery can be difficult, but you don’t have to do it alone. At Victory Men’s Health, we’re dedicated to helping you regain your confidence and quality of life as quickly as possible. 

If you’re struggling with erectile dysfunction after prostatectomy or have any concerns about your recovery, our team is here to provide personalized support and guidance. Contact us today to take the first step toward reclaiming your sexual health.