When should penile rehabilitation start following Prostate Cancer Surgery?

When should penile rehabilitation start following Prostate Cancer Surgery?

Today we’re talking about when is the best
time that you should start penile rehabilitation after you’ve had prostate cancer surgery. Now, of course, always take the advice of
your urologist and your healthcare team. They have your full medical history, and penile
rehabilitation is not a standardized approach, it’s tailored to the individual. In terms of the evidence, there are two studies
that both suggest, essentially it’s better to start your peanut rehabilitation sooner
rather than later. So there’s one by John Mulhall and colleagues
back from 2010, and I’ll pop two links down in the description box below if you want to
read the research yourself. They looked at men who started rehab below
six months versus those after, and their rehab protocol consisted of PDE5 inhibitors like
Viagra and injections. Now they found that men who started below
six months later down the line, they actually looked at two years, found that their erectile
function scores were higher than those who started afterwards. And then the second study, which was by Tobias
Kohler and colleagues that’s from 2007, this one looked at the use of a vacuum erection
device used one month after a prostatectomy versus those who started at six months after. What they found was that those who started
one month afterwards preserved their penile length going forward better than those who
started at six months. The general principle is sooner rather than
later. But keep in mind, there’s no standard guideline
saying “if you don’t start by this point, then there’s no chance of getting your recovery
potential,” or there’s no no guideline as well on “you shouldn’t start at this point,
it’s not good for your health”. It’s best to go on what your urologist and
your healthcare team suggest, and also to listen to your body. If you start doing rehabilitation early to
surgery, you’re feeling pain, you shouldn’t be in pain. Just stop and speak to healthcare provider. But there’s no harm to your health by starting
rehabilitation early. You can also start it when you’re still incontinent,
and in fact, pelvic floor exercises that you do for your incontinence have now been shown
to also help speed up erection recovery. So thank you for watching this video. If you liked this and you want to see more
just like it, please like the video, subscribe to the channel, and also feel free to comment
with any questions that you’d like future videos to address. If you’re on a prostate cancer recovery journey,
you can also join the Touchy Subject Members Club. It’s free and you get an area that’s full
of lots of extra resources. The description on how to do so is in the
description box below.

4 thoughts on “When should penile rehabilitation start following Prostate Cancer Surgery?

  1. Thank you for watching! Please comment below with any questions you'd like future videos on. See resources by clicking 'READ MORE'

    Join the Touchy Subject Member’s Club.

    John Mulhall (2009) "The timing of penile rehabilitation after bilateral nerve‐sparing radical prostatectomy affects the recovery of erectile function"

    Tobias .. (2007) "A pilot study on the early use of the vacuum erection device after radical retropubic prostatectomy"

    Pelvic floor exercises assist in erection function after prostate surgery: Jo Milios, watch our past webinar for more information:

  2. Hi Victoria, thankyou for taking the time to give positive advice and links to literature on the post operative prostatectomy issues. I'm 6-7 weeks post surgery and am starting to feel like I'm now getting some consistent continence control back. Very much appreciate your short 101 tips.

  3. Another great topic tackled really well, Victoria. Would it be possible to cover something like "making penile recovery fun" – top tips for couples?

  4. A great opener for penis rehab, sooner rather than later. Wish I had known about the pumps a lot sooner, better later than never.

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