Recovery of Erectile Function After Prostate Surgery

Prostate surgery is a necessary step in managing localised prostate cancer. However, it can significantly impact a man’s sexual health and overall quality of life. One of the primary concerns following this procedure is the effect on erectile function, typically due to the involvement of the nearby nerves that control erections. However, with advancements in surgical techniques, such as nerve-sparing approaches, and strategies for recovery, there is hope for patients to regain function and improve their overall health.

This blog explores how prostate surgery affects nerve regeneration, the healing process, and practical steps you can take to support and potentially accelerate your recovery.

How Prostate Surgery Affects Nerves and Sexual Health

The prostate gland is situated near crucial nerve bundles responsible for erectile function. During prostate surgery, particularly for cancer treatment, these nerves can be damaged or disrupted. This can result in temporary or, in some cases, permanent changes to erections and other aspects of sexual health.

Dr Deanne places significant importance on preserving these nerves wherever possible. Nerve-sparing surgery, as the name suggests, is a technique that aims to protect the delicate neurovascular bundles adjacent to the prostate. Using advanced tools like the da Vinci robotic system and her specialised training, Dr Deanne can perform precise movements and meticulously safeguard these critical structures.

However, even with nerve-sparing techniques, the nerves can be affected due to traction and manoeuvering of the prostate during surgery. Nerves regenerate slowly, and it may take weeks to months and rarely years, for full recovery. Understanding this process and supporting it with targeted actions can make a significant difference.

Erectile function can also be affected due to disruption of blood flow to the penis, and or swelling the area around the nerves

What Is Healing Like After Prostate Surgery?

Recovery from prostate surgery is highly individual and influenced by several factors, including the patient’s overall health, the extent of nerve damage, and the type of surgery performed. Common post-surgery experiences include:

• Temporary Erectile Dysfunction (ED): Even with nerve-sparing surgery, it’s not uncommon to experience erectile dysfunction initially. This is largely due to the healing process of the nerves and surrounding tissues.

• Gradual Nerve Regeneration: Nerves regenerate incredibly slowly, often at a rate of around one millimetre per day. This means improvements may unfold over an extended period.

• Psychological Adjustments: Adjusting emotionally to these changes is a vital aspect of recovery, and many patients benefit from open discussions with their healthcare team or counsellors.

It’s essential to maintain realistic expectations while focusing on proactive ways to support recovery.

How to Support and Speed Up Nerve Regeneration

While nerve regeneration is a complex biological process that cannot be rushed outright, there are steps that may help create optimal conditions for recovery. Here are strategies often recommended by experts like Dr Deanne:

1. Early Penile Rehabilitation

Penile rehabilitation involves using specific treatments to improve blood flow to the penis during the healing phase, ensuring that the tissues remain healthy and functional. Approaches may include:

• Erectile Medications (e.g., PDE5 inhibitors): Drugs like sildenafil (Viagra) or tadalafil (Cialis) are commonly prescribed post-surgery to improve circulation.

• Vacuum Erection Devices (VEDs): These devices can promote blood flow mechanically and prevent tissue atrophy.

• Penile injections: In some cases, injections directly into the shaft of the penis(such as Caverject, Bimix or Trimix) may be recommended for patients who do not respond to oral medications.

2. Pelvic Floor Muscle Exercises

Strengthening your pelvic floor muscles through targeted exercises has been shown to support erectile function and urinary recovery post-surgery. Your pelvic floor physiotherapist can guide you on proper techniques.

3. Healthy Nutrition

A nutrient-dense diet that prioritises nerve-boosting vitamins and minerals can aid recovery:

• Omega-3 Fatty Acids: Found in fish, flaxseeds, and walnuts, omega-3s support nerve health.

• Vitamin B Complex: Especially B6 and B12, which are essential for nerve repair and function.

• Antioxidants: Found in fruits and vegetables like blueberries, spinach, and oranges, antioxidants fight inflammation and repair cellular damage.

4. Exercise and Regular Activity

Physical activity is essential for overall health and healing. Moderate exercise, such as walking or swimming, improves blood circulation, reduces inflammation, and promotes nerve repair. Before starting any routine, consult your healthcare provider to ensure it is safe for your recovery stage.

5. Avoid Smoking and Limit Alcohol

Smoking and excessive alcohol consumption can hinder your body’s healing process and slow down nerve regeneration. If you are a smoker, consider seeking support to quit, as smoking can also impair circulatory health, which is vital for erectile function.

6. Mind-Body Therapies

Stress and anxiety are natural responses to the challenges of recovery but can interfere with healing. Techniques like mindfulness, yoga, and meditation may help you manage stress, foster mental clarity, and create conditions conducive to regeneration.

7. Patience and Perspective

Finally, it’s important to remain patient and kind to yourself throughout the recovery process. Progress is often gradual, and setbacks can occur. Open communication with your urologist and care team will ensure you have the resources and support you need.

The Importance of Personalised Care

Every patient’s recovery path is unique, and what works for one person may not be ideal for another. Dr Deanne emphasises a personalised approach to care, taking into account each patient’s goals, health status, and personal circumstances. This level of tailored attention ensures that every individual receives the best possible guidance and resources during their healing process. For many patients, the reassurance of individualised care and compassionate expertise can make all the difference.

Take the Next Step Towards Recovery

Prostate Cancer surgery is undoubtedly a significant event in any man’s life, but it doesn’t have to define your future health or happiness. With advancements like nerve-sparing techniques and effective recovery strategies, regaining sexual function and quality of life is achievable for many.

If you have questions about your recovery or want to learn more about how Dr Deanne approaches nerve-sparing surgery and post-surgical care, don’t hesitate to reach out. Together, you can create a recovery plan tailored to your needs.

Contact Dr Deanne’s office today to schedule a consultation and take the first step towards your recovery.