Potency Recovery

Several studies have shown that even with bilateral nerve-sparing surgery, it may take up to 18 to 24 months before a patient recovers reasonable erections. However, major gains are usually made between 6 to 18 months. There are several potential explanations for this time delay:  transient nerve injury, postoperative psychological issues and a history of infrequent and non-rigid erections, which affect the flow of oxygen to and the subsequent health of penile tissues. 

The delay in the return of potency can be improved by several approaches:

  1. by employing a careful surgical technique, one is able to minimize potential trauma to the nerves.
  2. by providing a comprehensive preoperative counseling program for the patient and his partner, one is able to address postoperative concerns and minimize the psychological impacts of surgery.
  3. by providing early, pharmacologic erections with the drugs listed below, one can avoid long-term penile tissue damage, thus expediting the return of spontaneous erectile function.

We recommend that, within the first 2 weeks after catheter removal, all patients who have undergone an RP should begin self stimulation to enhance eventual recovery of potency. Oral agents (Viagra®, Levitra® or Cialis®) are prescribed to enhance the flow of oxygen to penile tissue. The most common side effects are headache (20 percent), flushing (8 percent), visual disturbance (6 percent) and nasal congestion (6 percent). We ask patients to attempt to have at least 2 to 3 erections per week in the months after surgery in order to maximize post-operative recovery.

The successful recovery of erectile function is highly dependent on the patient and his partner’s education about treatment-related sexual problems.  Open sexual communication between partners is essential. Other issues, such as loss of sexual desire, difficulty reaching orgasm, ejaculatory problems or sexual pain also should be addressed. Finally, reproductive health, fertility issues and sperm banking counseling are an integral part of our sexual health rehabilitation program.

A World Class Centre

The Vancouver Prostate Centre (VPC) has a track record of success that has earned it a reputation as one of the world’s most respected cancer facilities. It is a National Centre of Excellence and a designated Centre of Excellence for Commercialization and Research.

Events

Plaid for Dad

Plaid for Dad Fundraiser, June 14, 2019

Plaid for Dad is a workplace fundraiser for Prostate Cancer Canada, with online registration & fundraising leading up to Friday June 14th's "wear plaid to work" day. Visit the event website to register a team, join/fundraise for a team or buy plaid to wear on the day.      

Fathers Day Walk Run 2019

Raymond James Father's Day Walk Run Fundraiser, June 16, 2019

The 21st Annual Raymond James Walk Run fundraiser for Prostate Cancer Foundation BC takes place on Sunday June 16, 2019 in various locations across BC. Registration fees ($40) include a shirt and BBQ lunch, and are waived for those who raise over $150. Click here to sponsor our Centre's team (opens in new window).

 

Employment

Work at the Vancouver Prostate Centre

Friday, May 3, 2019

Dr. Mads Daugaard receives the St. Baldrick’s Foundation Robert J. Arceci Innovation Award

Dr. Daugaard
Thursday, April 18, 2019

Dr. Subramaniam joins UBC as Gobind Khorana Canada Excellence Research Chair in Precision Cancer Drug Design

Dr. Subramaniam
Monday, April 1, 2019

VPC's translational research profiled in UBC Faculty of Medicine News

Dr. Gleave at the VPC