Register Now


Lost Password

Lost your password? Please enter your email address. You will receive a link and will create a new password via email.


Register Now

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Morbi adipiscing gravdio, sit amet suscipit risus ultrices eu. Fusce viverra neque at purus laoreet consequa. Vivamus vulputate posuere nisl quis consequat.

Erectile Dysfunction Due To Prostate Problems?


Hi, I’m 65 and have enjoyed a strong sexual relationship with my wife. At first I would go limp immediately after orgasm and I would be done even when my wife wanted more. Then it got to the point where o could not get a hard erection. About four years ago for about 8 months I would have a wet dream about twice a week. Because I am a spiritual person I thought it was wrong and would wake up and try to suppress it. My wife and I at the time were not overly sexually active and weren’t for several years. About three years ago I went to my doctor for a good physical checkup. My PSA level was elevated to 6. I then went to a urologist and had a prostate biopsy which showed Gleason score 3+3=6. After discussion with my urologist I decided to watch and wait for a year. I think that because cancer was growing in my prostate that it caused the night time orgasms. That’s just my uneducated assumption. A few months ago I underwent a second biopsy and found progression to 3+4=7 Gleason score. I am scheduled to have prostatectomy next month which will eliminate any possibility of orgasm ever again. I’m disappointed because sexual relations have been a good thing in the past. But at least I will be alive. I wanted to try Sildenafil one time prior to to help get an erection one last time and share the moment with my wife. I also wanted to let men know that if you are suffering from ED do not rule out prostate cancer as a cause. See a urologist for testing.


Hi Allan,
I’m very sorry to hear that.
But you shouldn’t not lose faith. Within one year from the surgery, about 40 to 50% of men will have returned to their pre-treatment function. After two years, about 30 to 60% will have returned to pre-treatment function.
An early ED rehabilitation after surgery can help restore erectile function. The success of ED rehabilitation depends on a good assessment of overall health condition (other health issues, medications than cause ED, etc…)
The use of a vacuum erection device (VED) along with Viagra or Cialis before sexual activities usually gives the best results. However, if that doesn’t work, we then consider adding a daily low-dose of Viagra or Cialis for at least 12 weeks (it shows some benefits in some cases), if it doesn’t work, we then consider alprostadil pellets, injections (intra-urethral and intra cavernosal prostaglandins) or topical alprostadil, and lastly a penile implant.

But it’s also very important to include an exercising program, a healthy lifestyle for eating and sleeping, pelvic floor exercises, and psychosexual therapy.

The ED rehabilitation after prostatectomy is a complete rehabilitation program and it may take longer for some men (up to 2 years) to see good results. Please discuss with your doctor the next step of treatment, I can’t recommend a certain step for you now because I’m not fully aware of your overall health status.

Best wishes for a quick and complete recovery.

About the Author