RECOVERY OF POTENCY AFTER RADICAL PROSTATECTOMY
You’ve had a radical prostatectomy, and one or both bundles were preserved. Which means that the potential for erection is there. So what’s the problem? Why isn’t it happening?
The first bit of advice your doctor should give you here is, “Be patient.” Erections return gradually. Your body has been through a trauma; it needs time to recover. This doesn’t mean you should give up on sexual relations until the day you wake up with a full erection. Also, know that the erection you have two months after surgery is not necessarily the same one you’ll have two years from now. Most patients experience an improvement in their erections over time; the quality improves month by month.
Normally, men become sexually aroused, have an erection and then pursue sexual activity. But after radical prostatectomy, the stimuli that cause an erection are different; visual stimulation is not nearly as important as tactile sensation—what the penis can feel directiy. In other words, soon after surgery, the only way a man can achieve an erection is with direct sexual stimulation. This changes the sequence of events. Now, men need sexual stimulation to produce an erection sufficient for intercourse. For this reason, don’t be afraid to experiment with sexual activity—you can do no harm!
Also, if you have a partial erection, go ahead and attempt intercourse— vaginal stimulation will be the major factor that encourages further erections. So don’t wait until you have the “perfect erection.” (If you do, you could be waiting a long time and missing out on this important aspect of your life.) Use of lubrications such as K-Y jelly also will help tremendously.
At first, sexual stimulation is the major thing that produces erections in men recovering from radical prostatectomy, and because the best stimulation is vaginal stimulation, we encourage patients to use whatever erection they have to get vaginal penetration. Often they’ll notice that the erection soon becomes much firmer.
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Tags: Erectile Dysfunction, Men’s Health