Sex After Prostate Removal

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A serious health challenge, especially illnesses such as prostate cancer or BPH, can put a large amount of strain on a marital relationship as well as their intimate life.

Living beyond one’s means causes tension, psychological hurt, nervousness, financial difficulties, and more.

If you’ve had prostate surgery, you might be curious as to what the outcomes may be following the operation.

Can You Have Sex After Treatment?

What effects will prostate surgery have on your intimate life?

If you would like to gain more knowledge about sexual activity after prostatectomy, this is the right spot. Here, we will answer all your queries.

This post is not meant to urge its readers to undergo prostate surgery. This guideline is for educational purposes only. It is advisable to reach out to an expert if you experience any issues regarding the prostate.

Can You Have Sex After Prostate Removal?

Surgeries that keep the nerve bundles intact, like prostate removal, increase the chances of maintaining or regaining correct erectile activity in males.

A large number of individuals with typical sexual abilities who receive therapy for prostate cancer at its initial stages may still have a pleasant sex life post-prostatectomy.

Experts believe that it is likely that patients will recover their ability to maintain an erection. Although men can’t ejaculate, they can still enjoy intercourse.

Recovery from the operation lasts for a significant period of time, potentially even up to a year.

Can a Man Live Without a Prostate?

Yes, you absolutely can live without a prostate. Yet, two major issues may detrimentally impact your standard of living. The inability to maintain an erection and difficulty controlling urination are among the issues present.

How Can a Prostatectomy Affect Your Sex Life?

Life after prostate removal can get hectic. The entire therapy is likely to result in a significant change in erection and sexual performance. The extent to which a person is affected with difficulties after prostatectomy surgery will fluctuate.

What happens when the prostate is removed? The downside to this is that it is a major procedure with the potential for complications.

Such as:

  • Incontinence (less than 5%-30%)
  • Ejaculatory dysfunction (100%)
  • Impotence (over 50%)
  • Orgasmic dysfunction (50%)

All patients suffer from erectile dysfunction immediately following treatment. Both morning and nighttime erections, as well as erections caused by psychological triggers, will instantly vanish. In spite of the fact that it is uncommon, some guys can get a hard penis.

How Long Does Erectile Dysfunction Last After Prostate Surgery?

Investigations indicate that between 25% to 90% of individuals who have a radical prostatic resection encounter erectile dysfunction following the procedure.

So, how long does erectile dysfunction recovery take? It typically takes anywhere between 6 and 12 months for those who manage to overcome their condition to regain sufficient erections for intercourse. Some patients need more time than that. Men should do Kegels exercises repeatedly in order to regain their sexual ability.

Think of the impaired erection process as an injury. It is essential to give the wound time to recover, just like you would with any other injury.

Remember that this is an ongoing battle. Recovery can take months to even years. Receiving proper medical care and doing physical conditioning may support a quicker recovery. However, this cannot be promised.

When Can I Start Having Any Sexual Activity?

Allow your body to recover for a minimum of 3 to 4 weeks prior to attempting anything. It’s possible that some individuals who have had a robotic prostatectomy might be engaging in sexual activities again by the end of one month. If you observe that your erections remain full for months following treatment, this is an indication of good progress.

Does Viagra Work After Prostate Removal?

Treating erectile dysfunction following prostate surgery can be challenging. Utilizing Viagra following a prostatectomy may be a feasible option for treating erectile dysfunction.

Viagra may increase the chances of achieving an erection when the nerves are intact by approximately 60%. In the event that the patient does not have any remaining functioning nerves, the effectiveness of Viagra significantly decreases to 20%.

The potency of the medication will depend on the prostate nerves that have been preserved. If the prostate and erectile dysfunction are having an impact on your life, it is advised to consult a medical specialist. Guys who experience no changes taking Viagra can utilize a mechanized apparatus to treat erectile dysfunction or opt for injections.

How Soon After Surgery Can I Take Viagra?

Consult with your doctor. Most patients can soon start taking Viagra following recovery from the operation. This can start up to 4 weeks after treatment. For the most favorable results, men should take a pill one to two hours before engaging in intercourse.

What about using Viagra after prostate radiation? Does it work? Radiation can hinder normal erectile function.

Between 40% and 50% of individuals may experience a full absence of erections post-prostate radiation treatment. In around 70% of cases, Viagra (sildenafil) can assist in restoring erections.

Can a Man Function Sexually Without a Prostate?

Life without a prostate can be different. It may not be achievable for all men to get an erection back following prostate removal, but it is not the only way to have fulfilling intimate experiences.

Other areas remain intact after surgery. You can still experience those emotions without having a hard erection. These are:

  • Sexual fulfillment
  • Sexual feelings
  • Climax
  • Orgasm sensations

People also ask, does prostate removal cause impotence? What is the chance of impotence after prostate surgery?

Investigations were carried out by research organizations to analyze sexual and urinary performance over a minimum one year period following a radical prostatectomy. Research results indicate that the prevalence of incontinence varied from as little as 4% to as much as 40%. The chances of being infertile ranged from 29% to 75%.

Can a Man Produce Sperm After Prostate Surgery?

After taking out the prostate, men can’t produce semen. Without the seminal vesicles and prostate gland, there will be no semen produced following a prostatectomy.

So, where does sperm go after prostatectomy? The testicles remain intact and are able to produce sperm. However, the body will just reabsorb them.

Orgasm After Prostatectomy

It is possible for males to experience pleasure and climax even following prostate cancer surgery and without a full erection. That’s because sexual pleasure doesn’t depend solely on penetration. There are also methods of mental stimulation, physical arousal of the penis, and sex toys that can be employed.

Men should anticipate an extensive transformation when it comes to climaxing after prostatectomy surgery – a climax sans ejaculation. It feels different, but it is still pleasurable.

Can You Have Sex After Prostate Cancer?

Adverse reactions concerning the reproductive and excretory systems are commonplace after treatment for prostate cancer. We can assist many people to return to an enjoyable sexual experience, even though the way it looks may have changed after treatment.

There are two gold-standard treatments for prostate cancer:

A radical prostatectomy involves the surgical removal of the prostate gland and the two seminal vesicles that are situated at the base of the prostate. Surgery may include the excision of pelvic lymph nodes.

Radiation therapy focuses on sending radiation throughout the prostate to ruin cells that are connected to cancer, including the nearby lymph nodes in the pelvis, occasionally. If you choose radiation treatment, you could receive androgen suppression therapy to lower the amount of testosterone in your system. This combined approach provides the improved overall treatment.

Inquiries are being conducted into therapies like high-intensity concentrated ultrasound and cryotherapy to possibly manage localized areas of the prostate and potentially decrease sexual difficulties. In many cases, treatments such as surgery or radiation therapy are only available to particular cases of prostate cancer, and in some cases, may be required further along in the treatment. It is advisable to seek advice from an expert in prostate cancer to decide if you would be eligible for any focal therapy.

Treatment Options for Ed After Prostate Cancer Treatment

Intimacy after prostate cancer treatment may not be the same, but it can still be pleasurable. Treatments for ED are often focused on penetrative intercourse. The act of sex is not just limited to penetration. We collaborate with you to talk about your objectives regarding sexual well-being or closeness with a partner.

Treatments for ED include:

Erectile Dysfunction Medications

Various drugs are available to manage erectile dysfunction, including Viagra® and Cialis®. These medications are often the first treatment we recommend. These products are budget-friendly, and you can discontinue using them at any moment if they are not satisfactory or working properly for you.

Penile Rehabilitation

The aim of penile rehabilitation is to lessen the possibility of lasting erectile dysfunction prior to receiving therapy. This is intended to boost oxygen circulation while maintaining the integrity of the erectile tissues so as to avoid any potential permanent damage. The belief is that assisting those affected to achieve erections shortly after treatment might prevent enduring harm. Consider it a way of taking advantage of what you have or risk losing it.

This topic has been thoroughly studied with no singular method that has been shown to be the ideal approach for every individual. The oncology team may suggest a specific plan, like taking a pill, that would help with the return of erectile functioning before long and hopefully provide a long-lasting recovery.

Penile Injections

Injections directly into the base of the penis, referred to as intracavernous injections, can help a person maintain an erection for longer. Your healthcare provider can show you how to administer the medication in order to achieve an erection when desired.

It may take up to a quarter of an hour for the medication to start working, so this might not be the most suitable choice if you’re scared of injections. If you want to experience a more satisfactory erection following prostate therapy and the pills have not been successful, then giving yourself shots may be a highly successful approach.

Vacuum Constriction Device

A vacuum erectile device (also referred to as a penis pump) works by drawing blood into the penis to facilitate achieving an erection. Typically, a rubber band is inserted around the base of the penis to maintain an increased level of blood. Using medication or having an operation might not be the right choice for everyone, but it could be a good opportunity if drugs don’t prove to be fruitful or you’re not keen on having a surgical procedure.


There are several types of penile implants to improve erections, including:

  • Malleable prosthesis, a noninflatable implant that’s always semirigid, and you bend it up or down.
  • The inflatable implant is placed in your penis and inflates using a scrotum pump.

Climacturia Treatment

If you suffer from climacturia, pelvic floor muscle treatment can be of assistance in managing your urinary flow better. This treatment does not require surgery and is composed of exercises to increase the strength of the muscles that aid in controlling urination.

Surgery is another option. A doctor or nurse can place a sling made from a mesh-like material of surgical tape around the urethra to put it back in its original position. The tension produced by the sling often makes it so that spills don’t occur.

People with climacturia may also experience erectile dysfunction. If you experience issues with both, we can perform a joint operation to install a penile prosthesis and a sling in order to deal with both difficulties.

Therapy for You and Your Partner

Sex counselors, marriage counseling, and social organizations are all significant aids for those who have received prostate illness remedy and their significant others. The subject of sex can be a difficult one to talk about, especially if either you or your mate has experienced alterations in intimate behavior and you don’t know how to express your emotions. If you have feelings of humiliation or humiliation or sense that you are deficient, you should be aware that it is frequent to have these side effects due to prostate cancer treatment. In the majority of scenarios, they can be addressed with the correct tools and treatments.

Some therapeutic options that can be beneficial after your treatment include:

  • Couples therapy centers around your relationship with your partner. It can help resolve conflicts and find ways to communicate better about things that are upsetting to you and your partner. A couples therapist can help you discuss these issues so they don’t interfere with your relationship.
  • Sex therapy focuses on sexual intimacy and helping couples show affection with and without penetration. That may include the use of sex toys or other activities you may not have considered before. Some sex therapists even specialize in working with people who have or who’ve had cancer.
  • Support groups connect you with others going through the same experience as you. They can help you understand what to expect and how others have handled specific challenges. Many people find support groups as a source of hope and comfort, and your healthcare provider can help connect you to these resources should you need them.

Our objective is to ensure that you experience the maximum, most beneficial and enjoyable life achievable. Our goal is to safeguard your wellbeing by providing cancer treatments and subsequently assisting you in regaining your quality of living. If being close and engaging in physical activities are important to you, we can aid you in performing those tasks in a secure manner.


Sex after prostatectomy does feel like an uphill battle. Despite the fact that the procedure may harm or totally annihilate the nerves governing erections, men are still capable of achieving orgasm and delight in sexual satisfaction. It is essential to make sure the body is restored before trying anything new in the bedroom.


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