Although advancements in surgical techniques have reduced side effects, issues with sexual function, particularly erectile difficulties, remain prevalent. Despite nerve-sparing efforts, the proximity of nerves to the prostate often results in erectile challenges post-surgery, with recovery depending on nerve preservation and penile rehabilitation. Blood vessel damage and possible radiotherapy may further impact erectile function, sometimes worsening over time. After surgery, erections may respond more to direct stimulation than visual cues, and orgasm is still achievable without ejaculation. Some men experience temporary issues like urine leakage or pain with orgasm, though many find the sensation remains pleasurable, with some noting heightened sensitivity.

Each person needs to be assessed individually to determine the degree of the problem and possible solutions. In general, the same treatment regime applies to men who have had these treatments as those who have had surgery. It is a matter of “if you don’t use it, you may lose it” so the aim is to keep the penis exercising with assistance. The use of radiotherapy may damage the nerves and blood vessels, and such damage can get worse over a number of years with late scarring. Hormone ablative therapy will cause a sudden drop in testosterone giving the man an artificial “male menopause.” This will profoundly affect a man’s interest in sex and can make the penis less responsive.

Erectile dysfunction (ED) is a common problem for men after prostate cancer treatments, as the erection nerves are closely related to the prostate gland. Sexual function after treatment is determined by three things: the first is pre-treatment function, the second is the degree of nerve damage and the third is the rehabilitation. Nerve sparing is not always possible, especially if the cancer is invading the nerves. Those most at risk of losing erections have impaired function pre-op or have more advanced disease. Your individual situation should be clearly discussed.  The TechRing by FirmTech can be used to assess sexual function before surgery to establish baseline function which gives us goal to aim for post treatment and also gives us the opportunity to get your penis in tip top shape if not working as well as it should be..

With absent erections, the health of the penile tissues is adversely affected. Lack of tissue stretching, and low oxygenation leads to damage to the smooth muscle cells and the development of fibrosis. Such changes may cause permanent ED and penile shortening. There is now good evidence that early use of medication and/or exercises to restore erections after prostate cancer treatment can improve the chances of recovery of erectile function; this is known as “penile rehabilitation.” Shortening of the penis is thought to be due to retraction with tissue fibrosis during the healing phase. Regular erection or use of a vacuum pump can be useful in preventing this.

At the Prostate Cancer Summit, you’ll access the knowledge, tools, and support needed to navigate your treatment journey without sacrificing the life you’ve built. With the right information and expert guidance, this is your opportunity to rebuild your life with a focus on what truly matters. You’re not alone in this battle—it’s time to take control of your health and conquer prostate cancer.