Doctor’s Orders: Get Back on Top After Prostate Cancer

It is one thing for a man to get a diagnosis of prostate cancer with the worry of his survival, but another concern for men is their sex life.

A couple walk along the beach in Santa Monica, California.
A couple walk along the beach in Santa Monica, California.

It is one thing for a man to get a diagnosis of prostate cancer, but another concern for men is their post-diagnosis sex life. How will the treatments affect sex, especially prostate surgery, and will sex be the same as before prostate cancer?

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The question of what kind of an impact prostate cancer will have on sex life needs to be addressed upfront from the beginning. A man may or may not feel comfortable broaching the topic but it is an important aspect of his well-being and at some point, either the doctor or patient should approach this subject. Knowing what to expect in regards to sex can ease a man’s mind about his recovery from prostate surgery. Here are some areas of a man’s sex life that can and may be affected:

  • Impotence and erectile dysfunction (ED) after prostate surgery

It is to be expected that most men will likely experience ED but fortunately it is temporary. While a man recovers from surgery, he can use Viagra or Cialis to keep active in his sex life. A man should not hesitate to ask for these medications when experiencing ED. These medications can actually speed up recovery and are often only needed temporarily.

  • Orgasm

Orgasms after prostate surgery are possible and enjoyable. Some men who may be experiencing ED may find that orgasms are possible even without an erection. After surgery, men may also want to masturbate learning how his body will respond to stimulation and builds sexual confidence. Also, practice makes perfect; Once the doctor gives the go-ahead, a man should continue having sex, since the sooner he tries, the sooner he will get back to enjoying an active sex life.

  • Ejaculation

One thing that will be different for men after prostate cancer is the fact that when the prostate gland is removed a man will no longer ejaculate. When there is no prostate gland or seminal vesicles present, ejaculations are not possible. A man will still have pleasurable orgasms but they will feel different.

  • Leaking urine during sex

Temporarily after prostate surgery, some men will have some urine leakage during sex but it is harmless and will discontinue in time. Practicing kegel exercises to work the pelvic floor can improve urinary control and orgasms.

  • Performance anxiety

Anyone going through a cancer diagnosis and treatments will have anxiety. Prostate cancer brings along its own special concerns for men in their sexual performance. This is normal for men to have worries about it and one way to relieve these concerns is to discuss it with their partner. Having a partner involved to work through the physical and emotional intimacy of performance anxiety will help a man tremendously in gaining trust and belief that he will regain his sex life back.

Patients newly diagnosed with prostate cancer can contact world renowned prostate cancer surgeon and urologic oncologist, Dr. David Samadi, for a free phone consultation and to learn more about prostate cancer risk, by calling 212-365-5000 or visiting

Dr. Samadi is a board-certified urologic oncologist trained in open and traditional and laparoscopic surgery and is an expert in robotic prostate surgery. He is chairman of urology, chief of robotic surgery at Lenox Hill Hospital and professor of urology at Hofstra North Shore-LIJ School of Medicine. He is a medical correspondent for the Fox News Channel’s Medical A-Team Learn more at Visit Dr. Samadi’s blog at Follow Dr. Samadi on Twitter, Instagram, Pintrest and Facebook.

Doctor’s Orders: Get Back on Top After Prostate Cancer