Follow-up after the prostate was removed by means ofan operation
Erectile dysfunctions as a consequence of operative prostate removal (prostatectomy)
A prostate having cancer is preferably removed completely by means of an operation (prostatectomy), unless adjacent lymphatic glands were affected with cancer to a larger extent already.
Bundles of vessels and nerves controlling the increased blood supply of the cavernous bodies within the penis required for an erection pass in the immediate vicinity of the prostate. The surgeon will attempt to remove the prostate and its capsule without injuring these areas, unless these are also affected with cancer.
If he is successful in doing so, it may nevertheless take several months until the penis erects spontaneously (without sexual stimulus) after the operation Spontaneous erections occur frequently in healthy men, even while they are asleep, and are particularly designed to supply the penis tissue with oxygen. If there are no erections over an extended period of time, the cavernous body tissue may degenerate permanently (atrophy). Therefore, it is possible that at least an erectile dysfunction remains even after the erection nerves have recovered after the operation.
Prophylactic tissue training against post-operative cavernous body degeneration
When a penis expander is used, the training effect of the tissue may provide a contribution to therapeutically counteract the degeneration of the cavernous body tissue in the post-operative transition period up to the physiological healing and to help preventing a potential erectile dysfunction. The application of an expander can be implemented in parallel to a possible medical therapy with erection-supporting pharmaceuticals. Neither the medical treatment nor the mechanic-physiological preventive treatment of post-operative erectile dysfunctions are part of regular follow-up schemes after the prostate was removed.
In order to investigate the possibilities of a prophylactic therapy of post-operative erectile dysfunctions, the patient should actively seek talks with his physician in charge before the operation is implemented already.