Sexual Recovery

All treatments aimed at eradicating localised prostate cancer carry a risk of impotence and may include erection problems, ejaculation disturbance or loss of libido or interest. However, sexual recovery is part of your journey to good health.

The therapy for erection problems is initially medications such as Sildenafil (Viagra), Vardenafil (Cialis) or Tardanefil (Levitra). If oral medications taken correctly at maximum dosage are unsuccessful or if they have side effects then other options include using vacuum constriction devices, penile injection therapy or if all else fails a penile implant.

There is evidence to suggest that the early encouragement of erections after surgery for prostate cancer appears to be beneficial to the ultimate recovery of erection functioning. This involves frequent foreplay as soon as four weeks after the surgery, as well as the use of daily medications or regular use of penile injections, as a form of penile physiotherapy.

With all forms of surgery, radiotherapy or brachytherapy the volume of ejaculate is reduced or absent. Libido or sexual interest is usually maintained following all forms of treatment after the original insult of the treatment passes. When hormone therapy is used, as it is for more advanced diseases, this may unfortunately affect libido. Some forms of hormone therapy can be used to preserve both libido and erectile functioning.


Penile implant surgery is a good way to re-establish erectile function. An internal inflatable device can be surgically implanted into the penis.

Initial reaction to this is occasionally one of disbelief. However, in reality, many men use implants as they are very reliable. The devices work very well and are totally hidden. The advantages are that no injecting or ongoing costs are incurred. The implant is always there and can be activated when needed.

Disadvantages include the cost of surgery and the operation. Health funds cover the cost of an implant. Implant surgery is however, relatively straightforward and most people are home in one or two days. Recovery is relatively quick.


Key aspects

From diagnosis and treatment to rehabilitation and research, I believe my highly experienced team and I bring a multifaceted approach to understanding and helping our patients. A summary of these key aspects of that approach is available here in PDF format. If you are suffering from prostate cancer or have reason to believe you might be, you are welcome to contact us or, intially, complete our comprehensive second opinion form.