How to treat Erectile Dysfunction after Prostate Surgery?

You are probably reading this because you have had prostate surgery and are suffering from erection problems or are planning to have prostate surgery and are concerned about erection problems after the surgery.

This blog entry with give you an idea of what we can do to help you get your erectile function back after prostate surgery.

Video on What is Erectile Dysfunction

First of all some pieces of good news:

  1. New surgical techniques these days do not damage the nerves leading to the prostate. In other words, leaving a much better chance for you to regain your erection.
  2. Almost everyone will suffer from erectile dysfunction after prostate surgery. So do not worry, you are not alone.
  3. About 70% to 80% of patients will go back to how they were before the surgery in about 6 months.

So what do doctors usually do when they see a patient who has had prostate surgery and is suffering from erection problems?

1. PDE5Is – Viagra and friends

This is the standard first step. Medicines like Viagra, Cialis and Levitra can all be used for ‘penile rehabilitation’ which is basically the technical term for helping you get your erection back after prostate surgery. Cialis also comes in a 5mg once-daily dose which has shown very good evidence for penile rehabilitation.

Make sure you maximize the dose of these medicines before deciding that they do not work. For other tips and tricks on how to maximize your Viagra or other similar medicines, Viagra does not work!”

2. ICI – Penile Injections

If PDE5Is do not work, the next usual step is to use Intra-Cavernosal Injections. Basically injections into the penis to get an erection. It is very commonly done and really not as difficult or as painful as you might think.

For patients on ICI, we usually get them to try PDE5Is every month or so. Because hopefully there will come a time when the patient starts responding to PDE5Is and does not need the injection anymore.

For more details on ICI and how to do it, follow this link.

3. Vaccum Devices

Remember Austin Powers? This is a device that goes over the penis and by way of vacuum, draws blood into the penis thereby causing an erection. The blood is then kept in the penis by a rubber band or ring the the base of the penis.

I must say this is not very popular in Asia. But it is painless and easy to do. Some patients do not like it because they feel it is too ”artificial”.

4. Penile Implants

This is obviously the method of last resort.

Modern implants are actually quite tolerable. It consists of a water bag that is stored in the abdomen and a pump that is in the scrotum. By pumping the scrotum, you get an erection. Most couples use this as part of the foreplay.

5. ESWT – Electro-Shock Wave Treatment

I put this right at the end because the data for this is still not very established for ED post-prostate surgery. ESWT has shown great results for people with ED due to blood vessel problems.

I am sure as we get more data, it will show that this treatment is very good for ED due to prostate surgery.

Questions?


1.) Dr. Tan and Partners @Novena


Men’s Health & Sexual Health Clinic

Dr. Tan Kok Kuan is currently practising in Men’s Health & Sexual Clinic @Novena Medical Centre

Address:
Novena Medial Centre
#08-31, 10 Sinaran Drive
Singapore 307506

Telephone:
+65 6397 2095

Email: [email protected]

Operating Hours:
Monday to Friday
8.30 a.m to 5.30 p.m.

Saturday
9.00 a.m. to 1.00 p.m

Sunday and Public Holiday
Closed

2.) Dr. Tan and Partners @Somerset


Men’s Lifestyle Clinic


Dr. Taufiq is currently practising in Men’s Lifestyle Clinic @Somerset (Orchard Building) 

Address:
Orchard Building
#10-08, 1 Grange Road
Singapore 239693

Telephone:
+65 6262 0762

Email: [email protected]

Operating Hours:
Monday to Thursday
10.00 a.m to 2.00 p.m. and
3.00 p.m. to 7.00pm

Friday
10.00 a.m to 1.00 p.m. and
2.00 p.m. to 7:00 p.m.

Saturday
9.00 a.m. to 1.00 p.m

Sunday and Public Holiday
Closed

3.) Dr. Tan and Partners @Robertson


Men’s Health & Anonymous HIV Testing Clinic

Anonymous HIV Testing in Singapore:
(Don’t require any identification, such as passport, NRIC or contact details during registration. )

Dr Deepa and Dr Jonathon Ti are currently practising at @Robertson Branch

Address:
11 Unity Street
#02-07, Robertson Walk
Singapore 237995

Telephone:
+65 6238 7810

Email: [email protected]

Operating Hours:
Monday to Friday
8.00 a.m to 9.00 p.m.

Saturday & Sunday
9.00 p.m. – 2.00 p.m.

4.) Dr. Tan and Partners @Scotts


Men’s Health Clinic

Dr. Justin Sii & Dr. Elaine are currently practising at our Men’s Health Clinic @Scotts Medical Centre

Address:
9 Scotts Road,
#06-06, Scotts Medical Centre
Singapore 228210

Telephone:
+65 6694 2348

Email: [email protected]partners.com

Operating Hours:
Monday to Friday
9.00 a.m to 5.00 p.m.

Saturday
8.00 a.m. to 1.00 p.m

Sunday & Public Holiday Closed