Understanding ED
Regaining Sexual Function After Prostate Treatment
Treatment for prostate cancer or an enlarged prostate (BPH) can be life-saving, but it often comes with the challenging side effect of erectile dysfunction. If you are facing this, know that you are not alone and that reliable, long-term solutions exist to restore your sexual confidence and intimacy.
On this page
The Connection Between Prostate Treatment and ED
The prostate gland is located in a complex neighborhood, surrounded by a delicate network of nerves and blood vessels that are essential for erections. During treatments like radical prostatectomy (surgical removal of the prostate) or radiation therapy, these nerves can be bruised, stretched, or damaged.
The Nerve-Sparing Challenge
Even with advanced "nerve-sparing" surgical techniques, the cavernous nerves responsible for erectile function are incredibly fragile. Any disruption can interrupt the signals from the brain to the penis that are required to achieve and maintain an erection. While some men regain function over time, many find that their erections are not as firm or reliable as before.
Your Path to Recovery
For men experiencing ED after prostate treatment, the journey to recovery follows a well-established pathway, starting with the least invasive options. It is common for first-line therapies to be less effective in this situation due to nerve damage.
Lifestyle Changes
For some men, improving diet, increasing exercise, quitting smoking, and reducing alcohol intake can help support erectile function recovery after prostate treatment.
Oral Medications (PDE5s)
Oral PDE5 inhibitors (such as sildenafil or tadalafil) are often the first step. However, they rely on intact nerve signals to be effective, which is why they may not work for many men post-prostatectomy.
Devices & Injections
If pills fail, self-administered penile injections (ICI) or vacuum erection devices (VEDs) can create an erection. While effective, many men find them less convenient for regular use.
Penile Implants
When other treatments are ineffective or undesirable, a penile implant offers the most effective long-term solution. It bypasses the damaged nerves entirely, providing reliable, on-demand erections.
Learn MorePenile Implants: The Most Effective Long-Term Solution
For men who have undergone prostate treatment and found other therapies ineffective, a penile implant is the most effective long-term option available. Unlike other treatments, it does not depend on the damaged nerve pathways. Instead, it mechanically provides the rigidity needed for intercourse, offering a predictable and highly effective outcome.
High Satisfaction Rates
Penile implants have the highest satisfaction rates among all ED treatments for both patients and their partners.
Restored Spontaneity
The ability to have an erection whenever desired restores a sense of spontaneity and intimacy.
Completely Concealed
The device is entirely internal, so no one will know you have it unless you tell them.
A Permanent Solution
It is a long-term, reliable fix that puts you back in control of your intimate life.
Rigicon Penile Implant Options
Rigicon offers several advanced penile implant options designed for reliability, natural appearance, and patient satisfaction:
Dynamic Inflatable Penile Prosthesis (DIPP)
The first hydraulic penile prosthesis with a fully-integrated dynamic-flow system that delivers pulsation during intimate moments. Designed to enhance sensation for both partners, while maintaining proven reliability and natural appearance.
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Two-piece Inflatable Penile Prosthesis
A simplified two-piece inflatable penile prosthesis with an integrated reservoir designed to reduce surgical complexity. Pre-filled and pre-connected for efficient implantation, offering reliable rigidity, natural appearance, and easy patient control.
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Malleable Penile Prosthesis (Bendable)
A semi-rigid implant offering straightforward functionality without mechanical components. Manually positioned as needed, providing reliable rigidity with a simple design that requires no pump activation.
Learn moreIs a Penile Implant Right for You?
A penile implant may be the right choice if you identify with the following:
Other Treatments Haven't Worked
You've tried first-line treatments like PDE5 inhibitors (pills), injections, or vacuum devices, but they haven't provided satisfactory results or caused unwanted side effects.
You Want a Permanent, Spontaneous Solution
You're looking for a long-term solution that allows for spontaneity without the need for pre-planning or medications. Implants restore the ability to have an erection whenever you desire.
You Are Ready for a Surgical Option
You understand that this is a surgical procedure and are prepared to discuss it thoroughly with a urologist to make a shared, informed decision about your health.
The Penile Implant Journey: What to Expect
Understanding each step of the process helps you feel prepared and confident about your treatment.
Before the Surgery
You will have a detailed consultation with your urologist to discuss your medical history, treatment goals, and which type of implant is best for you. You will receive instructions on how to prepare for the procedure.
The Day of Surgery
The procedure is typically performed under general anesthesia and takes about an hour. Most patients go home the same day or after a short overnight stay.
The First Few Weeks
You will experience some swelling and soreness, which is managed with medication. You will be advised to avoid strenuous activity for several weeks to allow for proper healing.
4-6 Weeks Post-Op
You will have a follow-up appointment where your surgeon will activate the device (if inflatable) and teach you how to use it. Once cleared by your surgeon, you can resume sexual activity.
Long-Term
With a penile implant, you can enjoy a restored and fulfilling sex life. The device is designed for long-term durability and reliability.
FAQs: ED After Prostate Cancer
Why don't ED pills work for me anymore?
ED pills require healthy nerve function to work. After prostate surgery or radiation, the nerves that control erections are often damaged, so the pills cannot produce the desired effect.
Will a penile implant feel natural to my partner?
Yes. When the implant is inflated, the penis becomes firm and rigid, much like a natural erection. Most partners report that they cannot tell the difference during intercourse.
Will the implant affect my ability to have an orgasm or ejaculate?
A penile implant does not interfere with sensation, orgasm, or ejaculation. These functions are separate from the erectile mechanism and are typically preserved.
How long does a penile implant last?
Modern penile implants are highly durable, with mechanical survival rates of approximately 87-93% at 5 years.[5] The Rigicon Infla10® has demonstrated a 95.6% freedom from revision or removal at 21 months in clinical studies.[6] While implants are designed to last for many years, a revision surgery may be needed at some point in the future.
Is the surgery safe?
Penile implant surgery is a well-established procedure with a high success rate and low risk of complications when performed by an experienced surgeon. Your doctor will discuss all potential risks with you.
Ready to take the next step?
Speak privately with a Patient Counselor
Get personalized information about inflatable penile prostheses in a confidential consultation. Our patient counselors understand the sensitive nature of ED and provide judgment-free support.
What you'll discuss:
- Your specific ED history and concerns
- How inflatable prostheses work
- Recovery expectations and timeline
- Finding the right surgeon for you
Private referral to a Rigicon Global Reference Center
Connect with experienced urologists in your area who specialize in penile prosthesis surgery. Our surgeon directory includes qualified professionals familiar with Infla10® Pulse™ products.
Search by:
- Geographic location
- Penile prosthesis experience
- Insurance acceptance
- Patient reviews and outcomes
Your privacy is our priority: Your enquiry is confidential. We never sell personal data.
Rigicon® Talks Videos
Rigicon Talks brings together doctors from around the world to share knowledge, helping patients better understand their treatment options.
Top 10 Questions Answered About Penile Prosthesis
| Time | Question | Play |
|---|---|---|
| 01:24 | Are you a candidate for a penile implant? | |
| 03:03 | Will the penile implant affect ejaculation or orgasm? | |
| 04:11 | Will the penile implant affect the length and girth of the penis? | |
| 05:09 | Will my partner notice the implant? | |
| 07:07 | How long is the recovery period after penile implant surgery? | |
| 08:24 | How to prepare for penile implant surgery? | |
| 09:33 | Can I choose the type of the penile implant I receive? | |
| 11:50 | How does the penile implant affect the appearance and feel of the penis? | |
| 14:30 | Will the penile implant interfere with urination? | |
| 15:46 | What is the lifetime of a penile implant and what is the likelihood of needing a revision? |
The Patient and Nurse Perspective in Prosthetic Urology
| Time | Question | Play |
|---|---|---|
| 00:40 | What is the nurse's role in prosthetic urology surgeries, and how do nurses help patients prepare for the procedure? | |
| 02:23 | How can nurses help patients manage their expectations and concerns before surgery? | |
| 03:26 | What does the typical recovery process look like after surgery? | |
| 05:19 | How does teamwork between nurses and surgeons impact patient care and outcomes in prosthetic urology surgeries? | |
| 06:06 | What advice would you give to patients considering an implant? |
Discover More
Patient Education Resources
Prosthetic Urology FAQs
Evidence-based FAQs on artificial urinary sphincters, penile and testicular prostheses—grounded in peer-reviewed research and international guidelines
Prosthetic Urology Glossary
Evidence-based glossary covering penile implants, AUS, ED treatments, and surgical terms in prosthetic urology
Specialized Treatment Information
Penile Implant Revision Options
Comprehensive solutions for revision surgeries and complex cases requiring specialized approaches
Solutions After Prostate Cancer Treatment
Specialized ED treatment options for patients following prostatectomy and other prostate cancer treatments
Solutions for Prostate Surgery & Diabetes ED
Specialized treatments for erectile dysfunction related to prostate surgery and diabetes complications
When Oral ED Medications No Longer Work
Advanced treatment options for patients who no longer respond to oral ED medications
Urinary Sphincter Solutions After Prostate Cancer
Artificial urinary sphincter options for managing incontinence after prostate cancer treatment
Rigicon Talks
Listen to expert discussions, patient stories, and educational content about prosthetic urology on your favorite platform.
Disclaimer
Important Notice:
This website provides educational information only and does not constitute medical advice. Product availability varies by country. Always consult with qualified healthcare professionals for medical decisions.
Regulatory Information:
Rigicon products are medical devices that require prescription and surgical implantation by qualified urologists. Individual results may vary.
Lifetime Warranty Availability & Terms:
A Product Replacement Lifetime Warranty is available for the Rigicon Infla10® Pulse™ family of inflatable penile prostheses and Rigi10™ family of malleable penile prostheses in countries/regions where the products are sold, subject to the Rigicon Limited Warranty and applicable local laws. Availability and terms vary by country/region; void where prohibited by law. Coverage is limited to device replacement for defects in materials or workmanship as determined by Rigicon; applies to the original patient only, is non-transferable, and requires replacement with a Rigicon device. The warranty does not cover surgical, hospital, or physician fees; removal/re-implantation costs; or damage from misuse, trauma, or off-label use. This warranty does not guarantee clinical outcomes. For complete terms and claim instructions, please refer to the Rigicon Limited Warranty.
References:
[1] Infla10® Pulse™ Series, ContiReflex®, ContiClassic® and Testi10™ products are not available for sale within the United States.[2] Rigicon® Infla10® Inflatable Penile Prosthesis Data on file.
[3] Salonia, A., et al. (2024). EAU Guidelines on Sexual and Reproductive Health. European Association of Urology.
[4] Hatzimouratidis, K., et al. (2010). Guidelines on male sexual dysfunction: erectile dysfunction and premature ejaculation. European Urology, 57(5), 804-814.
[5] Miller, L.E., et al. (2022). Long-Term Survival Rates of Inflatable Penile Prostheses: Systematic Review and Meta-Analysis. Urology, 166, 31-39.
[6] Wilson, S.K., et al. (2023). Initial safety outcomes for the Rigicon Infla10® inflatable penile prosthesis. BJU International, 131(6), 729-733.