Prostate cancer is one of the most common cancers in men, and while treatments for the disease can be lifesaving, they can also lead to unwanted side effects, including ED. The complex relationship between prostate cancer and ED is something many men are unaware of until they experience it firsthand. At Genesis Lifestyle Medicine, we specialize in helping men manage these side effects, providing advanced solutions to restore sexual health. In this article, we explore the connection between prostate cancer and ED.

How prostate cancer affects sexual function…

The effects of prostate cancer

Prostate cancer, especially in its advanced stages, can interfere with the normal functioning of the nerves, blood vessels, and muscles that are essential for achieving and maintaining an erection. The prostate gland is located just below the bladder and surrounds the urethra, making it an important part of the male reproductive system. When cancer develops in this region, the disease itself or its treatments can damage the structures necessary for proper erectile function.

The effects of surgery for prostate cancer

Surgery is one of the most common treatments for prostate cancer, particularly radical prostatectomy, where the entire prostate gland is removed. While this procedure can be life-saving, it often leads to erectile dysfunction. This is because the nerves and blood vessels responsible for erections run close to the prostate, and even with nerve-sparing techniques, there is a risk of damaging these structures.

The erectile function doesn’t usually return immediately after surgery. Nerve healing can take time, and it may be several months to a year or more before you notice improvement. However, the extent of recovery also depends on factors such as the skill of the surgeon, your age, and whether or not the cancer has affected the nerves surrounding the prostate.

The effects of radiation therapy for prostate cancer

Radiation therapy, including external beam radiation and brachytherapy (the implantation of radiation-emitting seeds), is another treatment for prostate cancer. This targets cancer cells but can also affect the erectile tissues within the penis. Unlike surgery, erectile dysfunction resulting from radiation therapy may not appear immediately. It can develop gradually, sometimes even two years after treatment.

Radiation therapy can cause damage to blood vessels, reducing the amount of blood flow to the penis, which is essential for an erection. In some cases, men may find that their erections become less firm or that they struggle to maintain an erection long enough for sexual intercourse. Fortunately, various treatments are available to address these issues.

The effects of hormone therapy for prostate cancer

For men with advanced or recurrent prostate cancer, hormone therapy is often prescribed. This treatment reduces the level of testosterone, which fuels prostate cancer growth. However, lowering testosterone also has a direct impact on sexual health. Without enough testosterone, many men experience a decreased libido, and erections may become difficult to achieve.

While hormone therapy is effective at controlling cancer, it can have a lasting impact on sexual function. For some men, these changes can be distressing, but some strategies can help manage the effects of low testosterone on erections and sexual satisfaction.

Restoring erectile function after prostate cancer treatment

If you are experiencing erectile dysfunction after prostate cancer treatment, it’s important to understand that there are solutions. At Genesis Lifestyle Medicine, we specialize in providing advanced and personalized treatments to help men regain their sexual function. Here are some of the most effective options available:

• Medications: Oral medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are often the first line of treatment for erectile dysfunction. These medications work by increasing blood flow to the penis, helping you achieve and maintain an erection.
• Injections and urethral suppositories: For men who don’t respond to oral medications, injectable treatments such as alprostadil or Trimix can be very effective. These drugs are injected directly into the penis, leading to an erection within minutes. Alternatively, alprostadil can be administered as a urethral suppository, which is inserted into the tip of the penis.
• Vacuum erection devices: A vacuum erection device (VED) uses a pump to create a vacuum around the penis, drawing blood into the erectile tissues. Once an erection is achieved, a ring is placed at the base of the penis to maintain the erection.
• Testosterone replacement therapy (TRT): For men whose erectile dysfunction is related to low testosterone levels, testosterone replacement therapy may be beneficial. TRT can help restore libido and improve the quality of erections in men with testosterone deficiency.
• Shockwave therapy: This treatment uses low-intensity sound waves to stimulate the growth of new blood vessels in the penis, improving blood flow and encouraging natural erections. Shockwave therapy is particularly effective for men whose erectile dysfunction is related to poor blood circulation, and it offers a long-term solution without medication or surgery.
• P-Shot (Priapus Shot): The P-Shot is a regenerative treatment that uses platelet-rich plasma (PRP) from your blood. The PRP is injected into specific areas of the penis to stimulate tissue regeneration, enhance blood flow, and improve erectile function. The P-Shot can also increase sensitivity and enhance sexual performance over time.

Erectile dysfunction after prostate cancer is a common side effect, but it doesn’t have to be a permanent part of your life. Schedule a consultation at Genesis Lifestyle Medicine, we help you find the best solutions to enjoy a fulfilling and healthy life after prostate cancer.