Penile Rehabilitation Program
2 Weeks Prior to Surgery:
- Cialis 5mg orally nightly or every other night
2 Weeks After Surgery
- Cialis 5mg Nightly
- Vacuum erection Device (VED) 5-7x/week - A good time to use this is prior to showering, incorporating the VED into a daily routine helps maintain consistency
- Pump slowly three times and pause, count to 5
- Pump 3 more x and pause again counting to 5
- Continue until penis is full. (tightness and some pressure are normal, but never to cause pain)
- Once a full erection is achieved count to 10 and release pressure
- Repeat process three more times per session
6 Weeks After Surgery
- Continue daily Cialis 5mg
- Attempt sexual activity with full dose Viagra or Levitra
- If necessary, you can attempt sexual intercourse with VED
2-3 Months After Surgery
- Oral medication as necessary
- If unsatisfied with erections, we will move to either intraurethral Muse therapy or Injection therapy
12-18 Months After Surgery
If satisfactory sexual activity has not returned, we can investigate options such as the insertion of a penile implant.
To reiterate, my goals are to cure your prostate cancer and to allow you to return to as normal a life as possible. Working with you to achieve these goals relies in no small part on establishing and maintaining an open line of communication. I do understand that discussing these issues can be embarrassing to some. If this is the case in your situation, I would ask that you set any feelings of awkwardness aside and focus on these goals.