David B. Samadi, MD
Chairman of Urology,
Chief of Robotic Surgery at Lenox Hill Hospital
Sex after prostate surgery is very possible and enjoyable for most men.
Dr. Samadi’s robotic prostate surgery, SMART Surgery, was explicitly designed to spare the tiny nerve bundles surrounding the prostate in order to preserve sexual potency.
Men who undergo Dr. Samadi’s robotic prostate surgery have a reasonable chance of regaining complete erectile function for sex after prostate surgery.
When first diagnosed with prostate cancer, it’s common for men to wonder what the future will hold. Certainly, a prostate cancer cure is top priority, but then what? David B. Samadi, MD, understands that men want to know:
Will I have sex after prostate cancer?
How will sex after prostate cancer be different?
For many men, prostate cancer treatment choice determines these answers.
If you elect robotic prostate surgery your chances of enjoying sex after prostate surgery are very high. However, it is absolutely critical to choose a robotic surgeon with a high case volume and extensive prostate surgery experience. The robot does not perform the surgery and technology is no guarantee of success.
Dr. Samadi is considered one of the best NY robotic surgeons because of his high surgical volume, successful track record, and background in open and laparoscopic prostate surgery.
Sex After Prostate Surgery – What to Expect
Knowing what to expect is a large part of optimizing your sexual recovery from prostate surgery. Dr. Samadi works very closely with men and their partners before and after surgery to help them understand what’s likely to occur.
Impotence and erectile dysfunction (ED) after prostate surgery:
Expect some ED, but know that for most men it is temporary. During recovery, medications like Viagra and Cialis will help.
Orgasm after prostate surgery:
You can expect to enjoy sex after prostate surgery. Many men are surprised to find that they even experience pleasurable orgasm without an erection. Keep in mind that your sexual pleasure does not depend on penetration.
Dr. David Samadi says restoring an enjoyable sex life after prostate cancer surgery is in part dependent on the prostate cancer treatment and choice.
When men and their partners know what to expect, they can accelerate recovery, experiment, and work together. Sex-related activities should be resumed as soon as you are ready but keep in mind some changes are temporary, and some might be permanent, but the bottom line is that all of the problems can be overcome.
Patients that recover from robotic prostatectomy can expect one significant change regarding orgasm, the orgasm without ejaculation. It will feel different but the pleasure part will still be there.
Ejaculation will cease:
Without a prostate gland or seminal vesicles you will no longer experience ejaculation. Even though your orgasm may feel different, it will still be pleasurable.
Leaking urine during sex:
This is possible, but does not happen to all men. It’s harmless and temporary.
Don’t underestimate the emotional roller coaster of prostate cancer surgery and recovery. It’s normal to worry about sex after prostate cancer. Being open and honest with your partner will help.
Keep in mind that your overall health, age, and present ED status are all factors in your recovery to sex after prostate surgery.
Less commonly, the prostate cancer tumor may bulge to one or both sides of the prostate gland, making nerve-sparing surgery extremely difficult or impossible. Dr. Samadi will help you understand your exact prostate cancer status and the position and size of your tumor. In some cases, a nerve graft can be performed to regenerate the penile nerves for sex after prostate surgery.
Changes in mood and libido:
The psychological impact of surgery can be significant; this will leave you tired and irritable, not in the mood for sex so you will need to move towards intimacy slowly and your desire will return back to normal.
Congratulations on your robotic prostate surgery! The key to enjoying sex after prostate surgery is to start when you’re ready. Dr. Samadi and his knowledgeable team are available to support you and your partner as you work to resume sexual activity.
Sex After Prostate Surgery – Getting Started
This helps you learn how your body will respond to stimulation after surgery and builds your sexual confidence.
Try out pelvic floors exercises to improve orgasm and urinary control.
Involve your partner:
Work with your partner through physical and emotional intimacy; sex will follow.
Don’t hesitate to try oral medication for erectile dysfunction. They’ll actually speed your recovery through penile rehabilitation and you may only need them for a short time.
Practice makes perfect; the sooner you try, the sooner you’ll get back to enjoying sex after prostate surgery.
Erectile Dysfunction (ED) After Prostate Surgery
For the few men who experience ED after prostate surgery that lasts more than two years, Dr. Samadi provides expert counsel and referral for alternative ED treatments.
Penile injection therapy for sex after prostate surgery:
If oral medications are not effective, penile injection therapy can be used to help the nerves regenerate or recover sufficiently. In a recent study it was shown that it is very valuable to use injection therapy to aid erections soon after surgery to increase the chances of the return of normal function.
Penile implants for sex after prostate surgery:
In some cases, no erectile function will return after prostate surgery. In such cases, you may want to explore the option of a penile implant for a permanent ED solution. A penile implant is an excellent option and is associated with a very high rate of patient and partner satisfaction.
If your husband or partner is undergoing robotic surgery for prostate cancer treatment, or is in the midst of recovery, it can be difficult to know the right things to say or do. Your patience and understanding are the most valuable support you can provide. Find ways to rebuild physical intimacy with your partner, but don’t be discouraged or offended if it takes time for him to feel comfortable being intimate again.
Prostate cancer can be an emotional journey for the entire family. Trust that you and your partner will soon enjoy healthy, happy sex after prostate surgery.