Sex After Prostate Surgery

David B. Samadi, MD

Chairman of Urology,
Chief of Robotic Surgery at Lenox Hill Hospital,
Professor of Urology at Hofstra North Shore-LIJ School of Medicine

Sex After Prostate Surgery

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.


Sex after prostate cancer treatmentSex after prostate cancer treatmentSex after prostate cancer treatment

 

Newly Diagnosed  

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.

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.

Performance anxiety:
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.
 

Post-Robotic Surgery

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

Masturbate: 
This helps you learn how your body will respond to stimulation after surgery and builds your sexual confidence.

Kegel exercises:
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.

ED medications:
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.

Have sex: 
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.

  Spouse/Partner

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.


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Call to Make an Appointment With Dr. David Samadi:

1-212-365-5000

Click the contact link to learn how Dr. Samadi can help treat your prostate cancer and give you back your quality of life.

* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.
Testimonials
Bill M., New York

I have had full urinary control for the three weeks since the catheter was removed. I am now back to my regular activities, pain free, enjoying our grandchildren, working on the house, and enjoying life.

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Mr. Smith, USA

ODE TO DR. DAVID SAMADI *Dr. Samadi :  How can I find the words  to thank you for saving my life?   There are no words! *Dr. Samadi:  How can I thank you for your masterful...

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D. McGuire, Suffern, New York

"In full recognition of my panicked state his office made arrangements for my wife and I to meet with him that same day. We knew immediately we found who we were looking for..."

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Alex W, Israel

The surgery was a lifesaver for my wife. Out of hospital in 24 hours, lost the catheter after six days. I was uncomfortable for a few days, but was dry at night after a week! Don't even think about it anymore. 6 weeks post surgery my PSA is 00!! I got my life and my life quality back!

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