Prostate Surgery: Will I Need a Penile Prosthesis?

All men are at risk for prostate cancer. If this information frightens you, the most appropriate thing to do is prevention. However, if you are already going through this situation, know that it is not the end of the world, after all, the disease has a cure and the man’s sexual functions will continue the same after overcoming it. All you need to do is to start the correct treatment and take the necessary care in the postoperative period.

The prostate tumor can be treated with surgery, radiotherapy, hormone therapy, chemotherapy, protein therapy or even with a combination of these methods. Moreover, there is a procedure called prostatectomy, which is the most indicated in cases of localized cancer and consists of the withdrawal of the prostate.

Although it is effective and safe, the treatment for prostate cancer can have some consequences, such as urinary incontinence, usually caused by prostate procedures due to its position just below the bladder. It can be controlled with medications and physiotherapeutic exercises to prevent the loss of urine or, in more severe cases, by placing an artificial urinary sphincter.

Some patients are predisposed to develop problems of erection, which troubles many men who do not want to give up on their sexual life. The good news is that this dysfunction can also be treated and solve the problem.

Continue reading the post and see how your sex life will continue to be active even after prostate cancer.

How to solve erectile dysfunction?

When you notice some difficulty or even the impossibility of erection, the first step is to see an expert. Avoid self-medication or home treatments found on the internet because these approaches may worsen the problem.

To begin to solve erectile dysfunction, the first thing to do is to perform some specific examinations to identify what is going on with the functioning of your penis and then come to the decision of which treatment will be the most effective. There is the possibility of treating it with the use of medicines to increase blood circulation in the penis. However, very often these methods only work as a palliative solution and do not fully treat the condition, except for a few exceptions.

The most common, safe and permanent treatment to get your sex life back is the penile prosthesis implant. It will give more stiffness to the penis and will prevent other conditions that may arise from erectile dysfunction such as Peyronie’s Disease.

With the instructions of a doctor you will have access to the different available types of prosthesis besides knowing how the surgical procedure works. Therefore, there is nothing to be afraid of. The most important thing in these moments is to focus on your quality of life.

Cares with penile prosthesis surgery

Often erectile dysfunction is followed by a penile decrease or loss of caliber. The good news is that with the best that medicine can provide we are already able to reverse that condition.

To begin with, make sure your doctor perform a specific evaluation of size loss. It is an examination made with an induced erection and colored ultrasound that will indicate if there is the presence of fibrosis in the penis, which is responsible for its decrease or thinning.

With this procedure, it will be possible to perform the Penile Reconstruction with the Egydio Technique, to stretch the penile shaft up to the limits of the nerves, blood vessels and urethra.  The implant of the prosthesis is done in the same surgical procedure right after the expansion of the tissues and has the function of recovering the stiffness for penetration. Thus, the satisfaction of the patient and the recovery of self-esteem are higher.

If you went through a prostate cancer treatment and has realized that your erection is no longer the same, fill out the pre-analysis form and we will start a conversation to find the best treatment for you.

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Paulo Egydio, M.D.

PhD in Urology from USP, CRM 67482-SP, RQE 19514, Author of Geometric Principles (known as “Egydio Technique”), as well as other articles and scientific books in the area. Guest professor to teach classes and live surgeries at conferences in Brazil and abroad.