Can a Swollen Prostate Cause Erectile Dysfunction?

Question:

Can ED be caused by a swollen prostate?

Answer:

Research showed that men with enlarged prostate (BPH) were more likely to have erectile dysfunction. Also, Severe prostatitis can cause erectile dysfunction directly. Prostatitis is inflammation of the prostate gland and can be either acute (usually caused by a bacterial infection) or chronic. In milder forms, prostatitis can cause painful ejaculation, which can certainly interfere with sexual pleasure and may lead to erectile dysfunction.

Also, other types of prostate enlargement (particularly prostate cancer) and their treatments (surgery, chemotherapy, or radiation treatment) may be responsible for ED development.

Erectile Dysfunction Due To Prostate Problems?

Question:

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.

Answer:

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.

How Can I Get An Erection After Treatment For Prostate Cancer?

Question:

My name is Mathan and I’m 63 years old. I have undergone the brachy and external (Beam) Radiation Therapy for prostate cancer six months ago. I have lost my erection completely after the treatment. Tried with Viagra (from 50 mg to 100 mg 3 hours before sex ) with no avail. Using the pump is also unsuccessful. The pump I used is ebay available one, not the prescribed. When masturbated without erection a tiny bit of semen seeps through. Can my problem be fixed? Please answer.

Answer:

Hello Mathan, I’m very sorry to hear that.
First of all, you should know that up to 85% of men receiving External beam radiotherapy or brachytherapy suffer from ED because these treatment methods lead to structural changes in the penile tissue, however early ED rehabilitation after radiotherapy 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 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 radiotherapy is a complete rehabilitation program and it may take longer for some men 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. I hope this helps.

Will ED Pill Like Viagra or Cialis Help with Erections after Prostate is Removed?

Prostate Removal and Erectile Dysfunction Question:

I have just had my prostate removed, will supplements or erectile dysfunction pills like Viagra or Cialis help to have an erection?

DOCTOR ALSAYES ANSWER:

Hi David,
Usually, it takes 12 weeks – up to 6 months for complete recovery of your natural erections after the surgery, but that can depend on many factors, such your age, your overall health status.

Usually, we start with oral medications (such as Viagra) if the natural erection doesn’t recover on its own, but these medications don’t work well for every case, thus 2nd choice we may try is injections (such as Bi-Mix and Tri-Mix).


If your nerves were spread during your prostatectomy you should talk to your doctor about starting injections like; Bi-Mix and Tri-Mix.

I hope this answers your question.

Since Having Prostate Surgery I Suffer from Erection Problems, Can Viagra Help?

Q. Since having prostate surgery a few months ago, I have suffered from significant erection problems. Could Viagra help me to overcome those problems and resume a relatively normal sex life?

A. A study released in 2014 reported an increased incidence of melanoma in men who had taken Viagra. Melanoma is the deadliest form of skin cancer, and needless to say, this report shook up many men who had been using the little blue pill.

Urologist Stacy Loeb, M.D., of New York University’s Langone Medical Center, led a team of investigators who conducted a meta-analysis of data from studies purporting to show that Viagra users were more likely to be diagnosed with melanoma.

The review, published in the May 19, 2017, issue of the “Journal of the National Cancer Institute,” found that men who took Viagra were more likely to be cautious about their overall health and thus more likely to be screened regularly for skin cancers.

For this reason, the apparent link between Viagra use and the increased diagnosis of melanoma was determined to be not a case of cause-and-effect but rather a case of “diagnosis bias,” investigators concluded.

I have an enlarged prostate gland. Can I take Cialis?

Benign prostatic hyperplasia, or BPH, is enlargement of the prostate gland that is not due to cancer. It can be uncomfortable, causing difficulty urinating, and can lead to infections of the urinary tract, which are miserable. The great news is, Cialis in a low dose on a daily basis is approved by the Food and Drug Administration for treatment of BPH.

The fact that erections may improve is an added bonus.

I have an enlarged prostate gland. Can I take Cialis?

Benign prostatic hyperplasia, or BPH, is enlargement of the prostate gland that is not due to cancer. It can be uncomfortable, causing difficulty urinating, and can lead to infections of the urinary tract, which are miserable. The great news is, Cialis in a low dose on a daily basis is approved by the Food and Drug Administration for treatment of BPH.

The fact that erections may improve is an added bonus.