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Sex After Prostate Surgery

Sex After Prostate Surgery - A Valid Quality of Life Concern

When faced with a prostate cancer diagnosis, first thoughts are usually focused on removing the cancer, but the ability to have sex after a prostate surgery is another important issue. The possibility of impotence is a valid concern, since the nerves around the gland that are responsible for proper erectile function are small, fragile and difficult to protect during conventional prostate surgery. 

Fortunately, the experienced staff led by Dr. Vipul Patel, the advent of the da Vinci® robotic prostatectomy, and the development of the retrograde nerve sparing technique dramatically reduce these concerns.  Our team has consistently demonstrated superior outcomes with respect to the maintenance of sexual function.  After surgery, our rehabilitation program works closely with each patient to ensure the best results.

Sex After Prostate Removal – Robotic Prostatectomy Improves the Odds

The da Vinci® Surgical System employs robotic technology, wristed instrumentation and 3D magnification which allows the surgeon to more accurately facilitate the prostate removal and to perform a precise nerve sparing prostatectomy.  This is one of the most critical advantages of the robotic procedure. The nerves that are responsible for creating erections are less likely to be damaged, helping to maintain sexual function after surgery. 

Guidelines for Sex After Prostate Removal:

  • Wait at least 4 weeks to engage in sex
  • The sensation of climax is unaltered, but there will be no ejaculation
  • The return of erectile function varies from days after surgery to up to 9-12 months

For more information about sex after prostate surgery and the revolutionary da Vinci® prostatectomy, contact us today. Our experienced healthcare professionals can answer all your questions and help determine if robotic prostate surgery is right for you.

Potency Rates

Source:

Continence, Potency and Oncologic Outcomes after Robotic-Assisted Radical Prostatectomy:  The Search for the Trifecta – Early Results

Vipul R Patel; Rafael F. Coelho, Sanket Chauhan, Marcelo A. Orvieto, Kenneth J Palmer, Bernardo Rocco, Geoff Coughlin

Submitted to BJU International, May 2010

One of the clear advantages of robotic surgery in the hands of an experience surgeon over conventional open or laparoscopic surgery is in the preservation of these delicate nerves and the ability to regain early sexual function.

Our expertise has led us to a few important conclusions: 

  • Surgeon experience and surgical technique is directly correlated with potency outcomes
  • Trauma to the neurovascular bundle can result in impotence, this is minimized in the hands of those with significant experience
  • The ability to preserve nerves is dependent upon the cancer and on the surgeon’s experience and assessment during surgery
  • Our signature technique of releasing the nerves in a retrograde manner prior to mobilizing the patient has been shown to facilitate the early return of sexual function

Over 90 percent of our patients with normal function going into surgery who have full bilateral nerve preservation regain sexual function.   Our approach to nerve preservation by eliminating the use of thermal energy around the nerves, while releasing the nerves away from the prostate early in the surgery in a retrograde manner with minimal traction or trauma, has contributed to our success.  Potency recovery periods are variable in each patient.