Erectile Dysfunction: Prostate Cancer

Prostate cancer is not a cause of erectile dysfunction; however, treatments for the disease can cause ED. The current methods of treating prostate cancer, including surgery with radical prostatectomy (removal of the entire prostate gland), radiation therapy--whether by external beam or brachytherapy (seed implant)--and hormone therapy, can cause ED.

When Can ED Occur Following Prostate Cancer Treatment?

• Radical prostatectomy. Erectile dysfunction can begin immediately following the removal of the entire prostate and surrounding tissues, whether the nerve-sparing or non-nerve-sparing technique is used. If the nerve-sparing technique is used, recovery from ED may occur within the first year following the procedure. Recovery of erectile function after a non-nerve-sparing technique is unlikely but is possible.

• Radiation therapy. The onset of ED following radiation therapy is gradual and usually begins about six months following treatment. Without ED treatment, ED is usually permanent.
• Hormone therapy. When hormone therapy is used, ED may occur approximately 2-4 weeks following the initiation of the therapy and is usually accompanied by a decreased desire for sex. Without ED treatment, ED is usually permanent.

How Is Erectile Dysfunction Treated Following Prostate Cancer Treatment?

The current treatment options for erectile dysfunction for people who have received treatment for prostate cancer include:

• Pills, including Viagra, Cialis and Levitra
• Intracavernous injection therapy
• Vacuum constriction device
• Intraurethral therapy
• Penile prosthesis

Reviewed by the doctors at the Glickman Urological Institute at The Cleveland Clinic.