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Post-prostatectomy erectile dysfunction: treatments to improve your quality of life

If you're struggling with erectile dysfunction after prostate surgery, you're not alone. There are treatment options available that can help you regain your sexual function. Learn more about your treatment options and find a solution that works for you.

Treatment options for post-prostatectomy erectile dysfunction

Erectile dysfunction (ED) is a common problem after prostatectomy. It occurs when the nerves or blood vessels that control erections are damaged during surgery. While there is no way to completely prevent ED after prostatectomy, there are treatments that can help.

Some men may be able to have an erection without treatment. For others, treatments to help with ED may include:

  • Oral medications. These include drugs that you take by mouth, such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn). These drugs work by increasing blood flow to the penis.
  • Penile injections. These drugs, such as alprostadil (Caverject Impulse, Edex), papaverine (Pavabid), and phentolamine (Regitine), can help if oral medications don’t work. They are injected into the side of the penis. These drugs work by increasing blood flow to the penis.
  • Penis pumps. This device, also called a vacuum erection device, is a plastic cylinder that goes over the penis. The cylinder is attached to a pump that draws air out of the cylinder. This forms a partial vacuum around the penis, which helps to draw blood into the penis and cause an erection. A rubber ring is then placed around the base of the penis to keep the blood from flowing back into the body.
  • Penile implants. This is surgery to place inflatable or malleable metal rods into the penis. These rods give you an erection by being inflated with a pump placed in the testicle or by bending the penis into an erect position.

You may want to try more than one type of treatment before finding the one that works best for you. It may take a few attempts to find the right treatment. Be sure to talk to your doctor about your concerns and your treatment options.

This is Part 2 of a 3 part series examining the use of Penile Vibration Therapy for penile rehabilitation following prostate cancer treatment.

In this part of the series, we discuss:

• the various options available to men for treating post-prostatectomy erectile dysfunction.

• How to use Penile Vibratory Stimulation for the purposes of penile rehabilitation following radical prostatectomy.

• The link between Penile Vibratory Stimulation, the brain and nervous system.

• The role of the pudendal nerve in erectile recovery.

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