Facing prostate surgery is a major life event, and while it often brings hope for healing, it can also lead to unexpected challenges—one of the most common being erectile dysfunction (ED). If you or a loved one are navigating this journey, know that you're not alone, and there are effective paths forward.
At Melios Wellness, we believe in whole-person care, and that includes supporting sexual health and emotional well-being after medical treatment. In this blog, we’ll explore how prostate surgery affects sexual function, how common ED is after surgery, and what solutions are available today.
How Common Is ED After Prostate Surgery?
Erectile dysfunction is a frequent side effect following prostatectomy, especially radical prostatectomy, which involves removing the prostate gland due to cancer. During surgery, even when performed with nerve-sparing techniques, the delicate nerves and blood vessels involved in erections can be impacted.
Studies estimate that:
Up to 85% of men experience some degree of ED immediately after surgery.
One year post-surgery, 40–50% of men continue to report erectile difficulties, though many see gradual improvement over time.
Recovery can take anywhere from a few months to two years or more, depending on age, health, and the type of surgery performed.
Why Does ED Happen After Prostate Surgery?
There are a few primary reasons for ED after prostate surgery:
Nerve Damage: Even if the surgeon spares the erectile nerves, they can still be stretched or traumatized during the procedure.
Reduced Blood Flow: Surgery can temporarily or permanently disrupt blood supply to the penis, making it harder to achieve or maintain an erection.
Psychological Stress: The emotional toll of cancer treatment, fear of intimacy, or concerns about performance can also contribute to ED.
What Are the Solutions?
Fortunately, erectile function can often be restored or significantly improved with the right approach. Here are the most effective options currently available:
1. Oral Medications
Drugs like Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil) are often the first line of treatment. These medications enhance blood flow to the penis, although they may be less effective immediately after surgery.
2. Penile Rehabilitation
This proactive approach starts shortly after surgery and includes:
Regular use of ED medications
Vacuum erection devices (VEDs) to encourage blood flow and prevent tissue damage
Pelvic floor therapy to strengthen supporting muscles
3. Injectable Medications
For men who don’t respond to oral meds, intracavernosal injections (such as Trimix) can be very effective, delivering medication directly to the erectile tissue.
4. Penile Implants
For long-term or severe ED, surgically implanted devices offer a reliable, natural-feeling solution. Modern implants are discreet and highly customizable.
5. Emerging Therapies
Treatments like platelet-rich plasma (PRP) therapy and low-intensity shockwave therapy (LiSWT) are gaining popularity. These regenerative approaches aim to improve tissue health and restore natural function.
A Holistic Approach to Healing
At Melios Wellness, we recognize that healing is not just physical—it’s emotional, too. Our team offers personalized treatment plans and ongoing support to help you regain confidence, comfort, and intimacy.
We can coordinate with your urologist or oncology care team, and we offer complementary services like IV therapy, hormone balancing, and regenerative treatments to support whole-body wellness during recovery.
You’re Not Alone—And You Don’t Have to Settle
ED after prostate surgery is incredibly common, but it doesn’t have to be permanent. With compassionate care and cutting-edge treatment, many men return to a fulfilling sex life.
If you’re ready to explore your options, we’re here to help. Schedule a confidential consultation at Melios Wellness today.