Erectile dysfunction AFTER prostate cancer: When to consider an Implant

[madman]

Prostate and Erection Anatomy

Cavernous Nerve Anatomic Distribution

In this video, Dr. Jonathan Clavell, urologist and penile implant expert in Houston, Texas explains everything a man who has undergone prostate cancer surgery (Radical prostatectomy) needs to know for his erectile function recovery.




Dr. Clavell talks about:

• Why ED happens after prostate surgery & radiation
• What penile rehabilitation is — and why it matters
• When to consider a penile implant (and why waiting too long can hurt results)
• How continence, orgasm, and climacturia factor into decisions
• What to expect during surgery: anatomy, reservoir placement, and outcomes

Chapters

00:00 Introduction
01:40 Prostate and Erection Anatomy
02:47 How erection nerves get injured?
04:08 How common is ED after prostate cancer treatments?
04:57 ED after radiation therapy
05:40 Factors that affect erection recovery after prostatectomy
06:46 Penile rehabilitation
08:45 When to consider an implant
10:36 How many men get an implant after prostatectomy
11:47 How hypoxia affects implant outcomes
13:00 How urine control affects outcomes
14:00 How Radiation affects implant outcomes
14:43 Reservoir placement
15:28 How orgasm is affected after prostatectomy
16:27 Climacturia after prostatectomy
16:59 Mini-Jupette Sling
18:07 What to expect during/after implant surgery