Prostate Surgery & Erectile Dysfunction: The Truth

Dr. Anne
Dr. Anne

Hi!

I'm Dr. Anne Truong, MD

Dr. Anne Truong is a highly respected physician, best-selling author and internationally sought-after speaker on the topics of regenerative cell medicine, pain management, and applications for aesthetics and sexuality.

What if the real reason behind your challenges in the bedroom has nothing to do with performance, and everything to do with what you don’t feel?

In this episode, we explore the surprising link between sensitivity and erectile dysfunction, revealing why many men are looking in the wrong place for solutions. You’ll hear a story of a man who struggled for decades and the key discovery that could help you avoid the same fate.

Curious about what’s really going on down there? Dive in now and find out what most men are missing when it comes to restoring their intimate health.

The Real Link Between Erectile Dysfunction and Sensitivity That Most Men Don’t Know

What if your erectile dysfunction isn’t just about performance, but about feeling less down there? If you’re like most men dealing with ED, you’ve probably wondered, “Why don’t I feel as much anymore?” or “Why does it take me so long to finish — or not at all?” You might think it’s just age or stress, but there’s a deeper reason that often gets overlooked, sensitivity.

One man recently walked in with a story that might sound familiar, he hadn’t felt much sensitivity in his penis for over 30 years. It took him more than 45 minutes to orgasm during sex. What seemed like a blessing at first eventually became a burden, straining his relationship and turning intimacy into a once-a-month routine. That’s not what anyone wants.

Here’s the good news. When you understand what areas are sensitive and how sensitivity plays into erectile dysfunction, you can start fixing the problem at the source.


Prostate Surgery & ED: The Truth

Not All ED Medications Are the Same, Here’s When to Use Which

If you’ve ever wondered whether you should be taking Viagra or Cialis, you’re not alone.

Sildenafil (Viagra) works quickly but wears off in a few hours. It’s perfect for when you need something fast-acting. Tadalafil (Cialis), on the other hand, lasts up to 36 hours. That’s why it’s called the “weekend pill.” It also comes in a daily low-dose form, which can help with both erections and urinary symptoms from an enlarged prostate.

But the best option depends on your lifestyle, your goals, and how your body reacts. Some men experience headaches with Viagra but not with Cialis. Others feel muscle aches from Cialis and prefer the shorter action of Viagra. Finding the right fit may take some trial and error.


Erectile Dysfunction Can Be the First Sign of Bigger Health Problems

Erectile dysfunction isn’t just about sex. It’s often a red flag for deeper health issues like:

  • Heart disease
  • High blood pressure
  • Diabetes
  • Poor circulation

Dr. Burnett explains that the blood vessels in the penis are some of the smallest in the body. That means they’re often the first to show signs of damage. So if you’re struggling with ED, it may be time to look beyond the bedroom and into your overall health.

And it’s not your fault. ED is common—and treatable. The key is to talk about it, not hide from it.


Let’s Talk About Your Prostate (Yes, It Matters)

Your prostate is a small gland that plays a big role in both urination and sexual function. As you age, it naturally grows larger. And that can lead to urinary problems like frequent nighttime trips to the bathroom or a weak stream.

But here’s the twist, an enlarged prostate doesn’t cause ED, and ED doesn’t cause an enlarged prostate. They often happen at the same time because they share a common root, aging and vascular (blood flow) changes in your pelvic region.

And while urinary symptoms may seem annoying, they could signal deeper issues in your blood vessel health. The same issues that affect your erection quality.


What You Need to Know About Prostate Cancer

Prostate cancer is one of the most common cancers in men. Especially Black men, who are at even higher risk. The good news? When caught early, it’s often treatable.

Screening usually starts with a PSA (Prostate-Specific Antigen) blood test. It’s not perfect, but it can detect early signs of trouble. If your PSA rises or changes quickly, your doctor may suggest a biopsy to find out more.

Dr. Burnett recommends starting screenings around age 45 if you’re high risk (African American, or have a family history), or by age 55 if you’re not.

If prostate cancer is diagnosed, treatment options include surgery (prostatectomy), radiation, or active surveillance. The right choice depends on your age, overall health, and how aggressive the cancer is.

Why ED After Prostate Surgery Happens

Many men fear that treating prostate cancer means the end of their sex life. But that’s not always true. Erectile dysfunction can happen after prostate surgery or radiation, because the nerves that control erections run very close to the prostate. But with today’s nerve-sparing surgical techniques and a personalized recovery plan (called “penile rehab”), many men regain function. Especially those who were healthy and sexually active before treatment.

Penile rehab might include medications, vacuum pumps, injections, or in some cases, a penile implant. Dr. Burnett emphasizes that the earlier you address ED after treatment, the better your chances for recovery.

Arthur Burnett, MD

About Dr. Arthur Burnett

Dr. Arthur Burnett is a world-renowned urologist and professor at the Johns Hopkins School of Medicine, where he holds the prestigious Patrick C. Walsh Professorship in Urology. As Director of the Male Consultation Clinic and Vice Chair for faculty development at the James Buchanan Brady Urological Institute, he brings decades of groundbreaking expertise in erectile dysfunction, prostate cancer, and reconstructive urology.

A pioneer in the discovery of nitric oxide’s role in erections, Dr. Burnett’s research was instrumental in the development of Viagra. He has performed over 3,000 nerve-sparing radical prostatectomies and authored more than 500 peer-reviewed publications. With honors from the NIH, FDA, and the American Urological Association, Dr. Burnett continues to lead the field in advancing male sexual and prostate health.

Want to connect with Dr. Arthur Burnett? Visit the Johns Hopkins Urology website or find his books on Amazon to learn more about his work in men’s health.


Final Thoughts

Sexual health is a vital part of your overall wellbeing. It’s connected to your heart, your brain, your confidence, and your relationships. Yet, far too many men, and even doctors, still avoid the conversation. That silence can lead to missed warning signs and untreated issues.

If you’re experiencing erectile dysfunction, urinary problems, or are concerned about prostate cancer, now is the time to take action. Talk to your doctor, ask about PSA testing, and make sure your treatment, whether it’s Viagra, Cialis, or another approach, truly fits your needs. Most importantly, prioritize your health today so your body can support you tomorrow. Because the sooner you speak up, the sooner you take control.


Frequently Asked Questions

  1. Can Viagra help if I have prostate cancer or had prostate surgery?
    Yes. Many men benefit from Viagra after prostate cancer treatment, especially if surgery was nerve-sparing. However, it may not work for everyone, and other treatments may be needed.
  2. Is it safe to take Cialis every day for erectile dysfunction and prostate symptoms?
    Low-dose Cialis is FDA-approved for daily use, especially for men with both ED and urinary symptoms from an enlarged prostate.
  3. What’s the difference between erectile dysfunction from aging and ED from prostate surgery?
    Aging-related ED is usually due to gradual vascular decline, while ED after surgery is often nerve-related. The treatment approach may differ.
  4. Can lifestyle changes really improve erectile dysfunction?
    Absolutely. Weight loss, exercise, sleep, stress reduction, and quitting smoking can all significantly improve erectile function, sometimes even without medication.
  5. Does a normal PSA mean I don’t have prostate cancer?
    Not necessarily. While a normal PSA lowers the risk, some prostate cancers don’t raise PSA early on. Tracking PSA changes over time is more informative.

Additional Resources

Curious about how you can boost your bedroom game and build lasting confidence? Check out the Get Wood Now Boost course and start your journey to feeling like yourself again!

Ready to take control of your penile health? Enhance blood flow, prevent atrophy, and ensure long-term functionality with the SOMA penis pump. So, don’t wait – invest in your health today and experience the benefits! Click here to purchase your SOMA pump now!

Join me on a sexual revolution to empower men and women to regain our sexual power. The Modern Man Club is a place where I share my research-based secrets for sexual performance without medication or surgery.

The book is the 5 Common Costly Mistakes Men Make When Facing ED. This is how you can have a rock-hard erection, enjoy more sex, be confident in demand, and improve your intimacy without ED medication. Uncover it all in my FREE eBook available to download now: The 5 Common Costly Mistakes Men Make When Facing Erectile Dysfunction.

The 5 Common Costly Mistakes Men Make When Facing Erectile Dysfunction

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