Can you still get an erection after prostate removal?

TL;DR

• Yes, it is possible to get an erection after prostate removal, but it often takes time.
• Erectile function depends on nerve preservation, age, and health before surgery.
• Many men experience temporary erectile dysfunction after surgery.
• Recovery can take months to several years, and outcomes vary widely.
• Supportive strategies and open discussion with doctors are common parts of recovery.

Can you still get an erection after prostate removal?

Yes, some men can still get an erection after prostate removal, but erections are often weaker or absent at first and may gradually improve over time.

Prostate removal surgery, medically called radical prostatectomy, can affect the nerves and blood vessels needed for erections. Because of this, erectile dysfunction is a common side effect, especially in the months following surgery.

Why does prostate removal affect erections?

Prostate removal affects erections because the nerves that control erections run very close to the prostate.

These nerves are known as the neurovascular bundles. During surgery, they may be stretched, bruised, or removed, even when surgeons try to protect them.

Key factors include:

• Extent of cancer and how close it is to the nerves
• Whether a nerve-sparing approach was possible
• Individual healing response

What is nerve-sparing prostate surgery?

Nerve-sparing surgery is a technique where surgeons aim to preserve the nerves responsible for erections.

If both nerve bundles are preserved:

• Chances of erectile recovery are higher
• Recovery may still take many months

If one or both nerve bundles are removed:

• Erections may be significantly reduced or absent
• Recovery is less likely, but not impossible

Not everyone is eligible for nerve-sparing surgery. Cancer stage and location are decisive factors.

How long does it take to recover erectile function?

Erectile recovery after prostate removal is usually slow and gradual.

Typical timelines reported in studies:

• 0–3 months: Little or no erectile function is common
• 6–12 months: Some improvement may begin
• 12–24 months: Continued nerve healing and recovery
• Up to 3 years: Further gradual improvement is possible

This process is often referred to as penile rehabilitation, although outcomes differ widely between individuals.

Who is more likely to regain erections after prostate removal?

Men are more likely to regain erections if they:

• Had good erectile function before surgery
• Are younger
• Had nerve-sparing surgery on both sides
• Do not have diabetes, cardiovascular disease, or severe obesity

Even with favorable factors, recovery is not guaranteed.

Is erectile dysfunction after prostate removal permanent?

Erectile dysfunction after prostate removal is not always permanent, but for some men it can be long-lasting.

Studien zeigen:

• A significant proportion of men regain partial or functional erections
• Others may need ongoing support strategies
• Emotional and relationship factors play a major role in adaptation

Open communication with healthcare professionals and partners is often emphasized in long-term recovery.

How do men cope with sexual changes after prostate surgery?

Men use a variety of supportive approaches to cope with sexual changes, including:

• Education about realistic recovery timelines
• Counseling or sex therapy
• Partner communication and intimacy beyond intercourse

These approaches focus on quality of life, not just physical function.

When should you talk to a doctor about erections after surgery?

You can discuss erection concerns with your doctor at any stage after surgery.

Common discussion points include:

• Expected recovery timeline
• Emotional impact of sexual changes
• Available educational or supportive options

Preparing questions in advance can help make these conversations easier.

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