
Had A Robotic Prosectomy. Problem In Erection, Swollen Penis. Practice Masturbation, Strong Sex Drive, Having Orgasm. Suggest?

Thanks for your query.Based on the facts that you have posted it appears that you have undergone Robotic Radical Prostectomy for cancer of prostate 2 years back and now facing problem of Erectile Dysfunction.
During any radical surgery for cancer prostate there is possibility of injury to the nerve plexus in the vicinity of prostate which are involved in process of erection. In majority of cases this injury to the nerve plexus is transient and gets resolved by regeneration of nerves over a period of year or so resulting into getting normal erection.
But in some cases it does not happen so and leads to Erectile Dysfunction.
Please consult qualified Urologist and explore the possibility of trial of medicine like Phospho Diesterase inhibitors (Sildenaphil) or putting Penile Prosthesis.(Penile Implant) so that you can enjoy your sexual life,
Hope I have answered your query.
Please feel free to ask if you have any more questions I shall be happy to help you.
Thanks with Regards.
Dr.Patil..


Thanks for follow up.
Since there is improvement in getting erection even after years of surgery there are less chances of regeneration and getting normal erection
The drugs which tend to improve erectile Dysfunction have their action on vascular component of erection and not on nervous component of erection.
The only option left is to put Penile Prosthesis (Implant).
Thanks and Regards.
Dr.Patil.


Thanks for writing again. Problem of erectile dysfunction can not be due to sciatica.It is definitely secondary to robotic radical prostatectomy.
Thanks and Regards.
Dr.Patil.

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