Prostate surgery and biopsy for cancer

Prostate surgery, specifically prostatectomy, is a common treatment for prostate cancer. A biopsy is often performed to confirm the presence of cancerous cells. Both procedures can have an impact on a man's sexual function, potentially leading to erectile dysfunction (ED).

Erectile dysfunction after prostatectomy and nerve damage

Following a prostatectomy, men may experience erectile dysfunction due to nerve damage. The degree of nerve damage depends on the surgical approach and individual factors. Some men may regain their erectile function over time, while others may require interventions to address ED.

PDE5 inhibitors: Viagra, Cialis, and Levitra

Phosphodiesterase type 5 (PDE5) inhibitors are a class of medications that include Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil).

These drugs work by increasing blood flow to the penis, helping to restore the ability to achieve and maintain an erection.

Role of Viagra in enhancing erections after surgery

Viagra has been proven effective in treating ED after prostate surgery. For men whose nerves have been spared, Viagra can improve the ability to have an erection by nearly 60%. However, its effectiveness drops to 20% for those with no nerves spared. David Samadi, MD, a world-renowned robotic prostate cancer surgeon, recommends ED medication to men during prostate cancer recovery.

Timing of Viagra use after prostatectomy

Most men are safe to use Viagra as soon as four weeks after their prostatectomy, which is when their catheters are usually removed. However, it is essential for men to consult with their doctors and get a prescription for Viagra after surgery.

Doctors' perspectives: David Samadi and Trinity Bivalacqua

Both Dr. David Samadi and Trinity Bivalacqua, a urologist at Johns Hopkins, prescribe Viagra to their patients after radical prostatectomy surgery. They believe that Viagra can help men regain their sexual capabilities and boost confidence during recovery.

Customized care plans including Viagra

Doctors may customize care plans that include PDE5 inhibitors such as Viagra, Cialis, or Levitra to help men regain their full sexual capabilities after prostate surgery. These medications can be used in conjunction with other treatments and lifestyle modifications to address ED.

Boosting confidence and improving sexual capabilities with Viagra

Taking a pill like Viagra can boost confidence as well as help with erections. However, it may take three or four attempts with Viagra to achieve a true response that will allow penetrative sex. Patience and perseverance are crucial during this process.

Success rates and expectations for Viagra use after prostate surgery

While Viagra can be effective after prostate surgery or biopsy for cancer, it is essential to manage expectations regarding its success rates. Factors such as nerve sparing, overall health, and adherence to prescribed medications and care plans can influence outcomes. Open communication with healthcare providers is vital for addressing concerns and maximizing the benefits of treatment.