Impact of Prostate Cancer Surgery on Sexual Function

[madman]

Prostate cancer surgery can have a significant impact on sexual function, but what should patients and healthcare providers expect? In this video from the ISSM and Movember, Dr. John Mulhall interviews Dr. Gerald Brock about erectile dysfunction after radical prostatectomy, factors that influence recovery, and whether robotic surgery has improved outcomes. They also discuss other sexual dysfunctions clinicians and patients should be aware of.

 

[madman]

Thread 'Testosterone Deficiency After Prostate Surgery: Why Up to 1 in 3 Men Develop Low T After Radical Prostatectomy'

Aug 31, 2025

* TD develops in 20-30% of men within 2-4 weeks of RP, with more profound TT suppression among those with higher-grade disease (e.g., Gleason 4+3). Mechanisms include retrograde venous shunting, DVC-induced intratesticular venous pressure elevation, and pneumoperitoneum-induced testicular ischemia. Symptom response post-RP is heterogeneous; some patients experience significant improvement in hypogonadal symptoms, while others do not and are prescribed exogenous testosterone.

* Approximately one-third of men develop transient or persistent TD after RP due...

• madman
• radical prostatectomy; hypogonadism; recovery; trt
• Replies: 1
• Forum: Prostate Related Issues