Robotic prostatectomy is a minimally invasive surgery to remove the prostate gland and surrounding structures. This surgery is most often done to treat prostate cancer. The success rates are high if the cancer has not spread beyond the prostate. Otherwise, it can result in erectile dysfunction afterwards. Most men who receive treatment for early prostate cancer are able to regain erectile function and can have satisfying sex lives have erections after robotic prostatectomy. However, it is a gradual process and may range from several months to 2 years.
Can ED Be Treated?
Erectile dysfunction is completely treatable but most men have their doubts after hearing so many negative experiences of patients. It is very much important to learn about treatment options for erectile dysfunction for all patients because it is the most common complication of this surgery. Many men do regain the ability to have erections immediately after having nerve-sparing robotic prostatectomy surgery with Dr. Razdan.
Treatment Options for Erectile Dysfunction:
There are a number of ways to treat erectile dysfunction in prostate cancer patients. Consult your doctor to find an effective ED treatment that suits your medical history and lifestyle. We have shed light on some of the common treatments below so you can make an informed decision.
- Oral medications relax the muscles in the penis, allowing blood to rapidly flow in. On average, the drugs take about an hour to begin working, and the erection-helping effects can last from 8 to 36 hours. However, oral medication is not recommended for patients with history of heart problems.
- Injecting medication directly into the penis is another option. While this is not as convenient as taking a pill, this option can help produce an erection.
- You can create an erection mechanically with the help of a vacuum device. It works by forcing blood into the penis using a vacuum seal. A rubber ring rolled onto the base of the penis prevents blood from escaping once the seal is broken.
- Surgery can also be done to treat ED, as various devices exist that can be implanted into the penis to help you achieve an erection. With one type, there is a small pump implanted under the skin of the scrotum. When you want to have sex, you squeeze the pump and fluid is sent to cylinders that are implanted in the penis. The fluid helps create an erection.
- Pelvic floor muscle exercises offer yet another option. These exercises have been found to improve erectile function in men with ED from other causes. Your doctor may recommend that you do pelvic floor muscle exercises after surgery to help with urinary control and possibly for restoring your sexual function.
Consulting a Therapist:
Facing a cancer diagnosis and the impending treatment is a life-changing event. The emotional impact cannot be downplayed and it needs to be addressed properly. There are a number of doctors and mental health professionals who have extensive experience in dealing with ED. Therapists understand how sexual problems can affect your feelings of self-worth and your relationships. If you have a partner, see a therapist together. It will be easier for both of you to express your fears and concerns, learn coping strategies, and find new ways to develop intimacy during your recovery. There are also support groups available to provide further encouragement and hope.