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

Conference Flyer Page 1

Breast & Prostate Cancer half-day virtual conference: Saturday, September 18th, 2021

The What you Need to Know for Your Patients Post Breast & Prostate Cancer Conference, taking place online on Saturday, September 18th, 2021 from 8:00am – 1:30pm, is an accredited virtual half-day conference focusing on screening, treatment, side-effect management & emerging new therapies for breast & prostate cancer patients. Click here for more information and to register. 

Dr. Peter Black, team captain

Terry Fox Run fundraiser: September 19th, 2021

The 41st Annual Terry Fox Run is taking place on Sunday September 19, 2021. If you are able, please consider donating to our team (tax receipts issued), raising funds for the Terry Fox Foundation's ground-breaking cancer research. 

Employment

Work at the Vancouver Prostate Centre

Wednesday, September 8, 2021

Recent publication proposes a potential new therapeutic approach to treatment-resistant prostate cancer

Tuesday, August 3, 2021

Dr. Cherkasov receives 2021 Faculty of Medicine Distinguished Achievement Award

Dr. Cherkasov