What is the pattern for return of sexual function after prostate surgery?
A. Usually erections return slowly beginning 3-6 months after surgery and continue to improve for 18-24 months. There is a lot of variation. Usually erections are not as firm as before surgery unless the patient had “perfect” erections to being with. If the nerves can be partially or completely saved, Viagra usually improves the erections. If not, prostaglandin injections, MUSE urethral suppositories, or a vacuum erection device must be used. Some patients prefer to solve the problem with a surgically implanted penile prosthesis.
