Specialist Rehabilitation for
Post-Prostatectomy Men

Erectile dysfunction after prostate surgery is one of the most common side effects men face following treatment for prostate cancer. Even with advances in surgical techniques, many men find that achieving or maintaining an erection becomes difficult in the months and years after their operation and some men suffer total impotency.

At MansMatters, we specialise in helping men address post-prostatectomy erectile dysfunction through a medically-led, non-invasive approach. Our goal is to restore function, protect long-term penile health and support confidence in intimate relationships.

Post Surgery ED Therapy for Prostate Cancer Patients

Understanding Post-Prostatectomy Erectile Dysfunction

Unlike general erectile dysfunction, which may result from cardiovascular or lifestyle factors, ED after prostate cancer surgery is caused by changes directly linked to the procedure itself. The nerves and blood vessels essential for erections run both within and alongside the prostate, and can be affected during surgery..

Even when a nerve-sparing prostatectomy is performed, erectile recovery often takes time and is not guaranteed, as the delicate nerves may be temporarily or permanently impaired. Without early rehabilitation, some men may also notice changes such as penile shortening, tissue fibrosis, or urinary leakage during intimacy, all of which can impact long-term sexual health.

How Prostate Surgery Affects Sexual Function

The changes men experience after prostate surgery are not just physical but can also affect intimacy and overall quality of life. While the extent varies depending on whether the nerves are preserved, many men notice some of the following:

  • Difficulty achieving or maintaining an erection
  • Reduced firmness or duration of erections
  • Changes in orgasm or ejaculation
  • Penile shortening or curvature over time
  • Urinary leakage during intimacy
erectile dysfunction after prostate surgery, early rehabilitation, sexual health recovery
erectile dysfunction after prostate surgery, post prostatectomy rehabilitation, sexual function recovery

The Role of Early Rehabilitation

Recovery from erectile dysfunction after prostate surgery is often influenced by how soon rehabilitation begins. The longer erections are absent, the greater the risk of changes such as tissue fibrosis, penile shortening and reduced responsiveness to treatment.

Starting rehabilitation early can:

  • Support blood flow and oxygen supply to the penile tissue
  • Reduce the risk of long-term shrinkage or scarring
  • Help maintain erectile potential while nerves recover
  • Improve continence through pelvic floor strengthening
  • Build confidence by taking an active role in recovery

At MansMatters, early rehabilitation is a core part of our approach, combining therapies that address circulation, muscle function and penile health to give men the best chance of long-term improvement.

Treatment Options at MansMatters

MansMatters offers treatments tailored specifically for men with erectile dysfunction after prostate surgery. Our focus is on evidence-based therapies that support both recovery and long-term sexual health.

Tesla Chair (Pelvic Floor Strengthening)

The Tesla Chair stimulates pelvic floor muscles using advanced magnetic fields, replicating the effect of Kegel exercises. Strengthening these muscles can improve urinary control and provide vital support for erectile recovery.

Penile Pumps (Vacuum Erection Devices)

Vacuum devices draw blood into the penis to create an erection. Beyond sexual activity, they play an important role in penile rehabilitation, maintaining tissue health and preventing fibrosis or shrinkage after surgery.

Little Blue Pills

Often prescribed as a first step in rehabilitation, these tablets help increase blood flow to the penis. They can be effective after a nerve-sparing prostatectomy, although results are limited when nerves have been removed.

Penile Injections

By acting directly on penile tissue, injections can produce reliable erections even when nerve pathways are damaged. This makes them a highly relevant option for post-prostatectomy erectile dysfunction.

Penile Implants

When other treatments are unsuccessful, penile implants provide a permanent solution. Surgically placed inside the penis, they allow men to achieve an erection on demand and can restore sexual function in the long term.

What Results Can Men Expect?

Recovery is different for every man, depending on age, health, pre-surgery function and the type of prostate surgery performed. However, with the right approach, many men experience:

  • Gradual improvement in erectile function
  • Better maintenance of penile health
  • Greater urinary control during intimacy
  • More satisfying and comfortable sexual activity
  • Long-term recovery, especially with early rehabilitation

What to Expect in the MansMatters Clinic

We are experts in the field of men’s health. We offer our patients the safest, most advanced and effective men’s health treatments in a comfortable, relaxed and premium environment.

Complimentary Initial
Consultation

This 20 minute consultation with our knowledgeable clinical advisors to assess your goals, initial evaluation of your medical history, and determination of the best approach to achieve the desired outcomes.

Consultation
Pre-Treatment

This involves detailed information on the treatment being undertaken and allows the practitioner to answer any questions you have, as well as providing instructions on preparing for the treatments, including any pre-requisite actions prior to undertaking the treatments.

Treatment

We are committed to solving your men’s health challenges by administering procedures and providing personalised care. Let us guide you with confidence and comfort at every step of your journey, reclaiming the best version of yourself.

Post-Procedure
Consultations

We provide personalised attention and support for your comfort and recovery. With our expert team by your side, we ensure a smooth journey to renewed confidence, delivering optimal results and satisfaction.

Why Choose MansMatters for Post-Surgery ED Rehabilitation?

Recovering from erectile dysfunction after prostate surgery requires more than a one-size-fits-all approach. At MansMatters, we understand the unique challenges men face following prostatectomy and provide tailored programmes that go beyond traditional treatments.

Our patients choose us because:

FAQs

Frequently Asked Questions
About ED After Prostate Surgery

Erectile dysfunction is very common after prostate cancer surgery, with most men experiencing some degree of difficulty in the first year. Recovery depends on factors such as age, health and whether the nerves were preserved.

Yes, many men see improvement over time, especially after nerve-sparing surgery. Recovery is often gradual, and early rehabilitation can improve long-term outcomes.

Recovery times vary. Some men regain function within months, while others may take one to two years. For some, additional treatments such as injections or pumps are needed to achieve reliable erections.

There is no single best treatment. Options include pelvic floor therapy, little blue pills, penile injections, pumps and implants. The most suitable choice depends on whether nerves were spared and the man’s individual recovery.

Yes, penile pumps can both create erections for intercourse and serve as a rehabilitation tool. Regular use helps maintain penile tissue health and reduces the risk of shrinkage or scarring.

Pelvic floor therapy can support recovery by strengthening the muscles that control continence and erections. Devices like the Tesla Chair make it easier to achieve high-intensity results.

Men who have a nerve-sparing procedure have a higher chance of erectile recovery, although it can still take many months. Early rehabilitation helps maximise the potential for improvement.

Take the Next Step

If you are experiencing erectile dysfunction after prostate surgery, you are not alone, and effective treatments are available. At MansMatters, we offer tailored rehabilitation programmes designed to help restore function and confidence. Book your Free Consultation today to explore treatment options designed specifically for men after prostate cancer surgery.

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