AFTER PROSTATE CANCER
Life After Prostate Cancer
Leakage, erection problems, scarring, and radiation side effects after prostate cancer treatment are common and treatable. Most of the men I see for them come after prostate surgery or radiation, and the same care applies after bladder or rectal cancer treatment.
AFTER PROSTATECTOMY
Sphincter and Implant in One Operation
For men with both leakage and erection problems after prostatectomy, an artificial urinary sphincter and a penile implant can often be placed in the same operation, with one recovery.
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AFTER RADIATION
Radiation Side Effects
Radiation can cause bladder bleeding, urgency, pain, and scarring of the urethra or bladder neck, sometimes years later. Treatment ranges from medication to reconstruction.
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EARLY RECOVERY
Penile Rehabilitation
After nerve-sparing surgery, using pills, injections, or a vacuum device early can help protect erections and length while the nerves recover.
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Related Conditions
Condition
ED After Prostate Cancer Treatment
Recovery with pills, injections, a vacuum device, or a penile implant.
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Condition
Leakage After Prostate Surgery
Treated with a sling or an artificial urinary sphincter. If leakage continues with a working device, an overactive bladder is often the cause.
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Condition
Urologic Side Effects of Radiation
Bleeding, urgency, pain, and scarring after pelvic radiation, and how they're treated.
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How long until I know whether things will recover on their own?
Bladder control often improves over the first year after surgery. Erection nerves can take 1 to 2 years. You don't have to wait idly. Rehabilitation and treatment can start early.
Can I still be treated after radiation?
Yes. Radiated tissue heals more slowly, so planning matters, but slings, sphincters, implants, and stricture repair all remain options.
Will treatment interfere with my cancer follow-up?
No. Implants and sphincters don't affect PSA monitoring.
Can leakage and erection problems be fixed at the same time?
Often, yes. A penile implant and an artificial urinary sphincter can be placed during the same operation.
I leak urine during orgasm. Is that common?
Yes, it's common after prostatectomy and it's treatable. Mention it at your visit.
What should I do if I see blood in my urine after radiation?
Call the office so it can be checked. Light, occasional bleeding is often managed with fluids and medication. Go to the nearest emergency room for clots, heavy bleeding, or if you can't urinate.
Talk Through Your Options
Book a consultation in Garden City or by video to talk through options for leakage and erections after cancer treatment.
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