How can the various treatments affect my sexual function and sensation?

Martin Sweeney - Prostate Patient Advocate:

“MS Radical treatment for prostate cancer (usually surgery or radiotherapy) will impact on your sexual function and wellbeing, at least temporarily during and following your treatment. Most men report a lower interest level in having sex, as well as a different physical sensation during sex. For example, following a prostatectomy (surgical removal of the prostate) a man will no longer be able to ejaculate sperm, and the feeling at orgasm will change. Usually, the sensation is not as pleasurable as beforehand. It is advisable that you raise any issues or concerns regarding your sex life with your consultant/oncologist before you decide on your treatment. You should also seriously consider involving your partner in all these discussions as well.”

Why was I not given information about how the treatment might impact my erection? I am devastated.

Martin Sweeney - Prostate Patient Advocate:

“Your consultant will usually raise the issue of erectile dysfunction at the time of diagnosis but sometimes they do not. It is vital that you let him/her know what issues are most important to you (e.g. sexual wellbeing, incontinence) at the earliest opportunity. Erectile problems are very common following radical treatment for prostate cancer, and it is highly recommended that you ask your consultant, nurse or GP for treatment options. Pills such as Viagra, as well as devices such as penile pumps and penile injections can help greatly with getting your sex life back.”

How do penile pumps work?

Martin Sweeney - Prostate Patient Advocate:

“Penile pumps work by helping blood flow into the penis, to create an erection. A few minutes prior to wanting an erection, you place a vacuum device over the penis and wait for the blood to flow into it. Then you remove the device and, all going well, your penis will be erect and you should be able to engage in penetrative sex. Penile pumps are very effective for some men. They can take a bit of practice to get used to, and can be awkward to work, but they are definitely worth trying.”