Here are the nuts and bolts of maximizing your urinary control and sexual function after prostate surgery or radiation. Recovery is dependent upon your age, pre-surgery urinary and sexual function and the extent of erectile nerve preservation possible at the time of surgery.
All of the items necessary for rehabilitation are available from the Urology Health Store. Visit our website for more information on our products and the science behind them.
Always speak with your urologist for specific medical regarding the rehabilitation process.

• 6 weeks before surgery

  * Maintain an active sex life
  * If you have ED issues, consult with your urologist about using one of the oral ED medications
  * Use Pelvic Rx pelvic floor muscle training to optimize urinary control and erectile rigidity muscles
  * Use Viberect to stimulate the penile nerves
  

  • After surgery and catheter removal

    
    * Tadalafil 20 mg or Sildenafil 100 mg every 3 days
    * Continue Pelvic Rx
    * Continue Viberect for 5-7 minutes three times per week
    * Maintain intimacy with your partner and consider Eroscillator-plus or We-Vibe from our female store
    * Urinary control items if necessary: Protech Dry washable underwear; Regain, Dribblestop or Acticuf compression devices; Urostop if urinary control issues with sexual intimacy
    

    • 1-18 months following surgery

      
      * Use vacuum erection systems three times weekly, maintaining suction without using the ring for 8-10 minutes
      * Continue Viberect three times per week
      * Continue Pelvic Rx
      * Tadalafil 20 mg or Sildenafil 100 mg three times per week
      * Attempt sexual intercourse
      * If no partner, consider Fleshlight
      * If necessary, begin penile injection program weekly to achieve rigid erection suitable for intercourse (consult with your urologist regarding the specfics)
      

      • 18 Months after Surgery:

        
        1. If you have persistent leakage with activities, talk to your urologist to perform a simple test to assess the severity of your leakage. If mild to moderate, consider a sling procedure. If severe, talk to your urologist about an Artificial Urinary Sphincter (AUS)
        2. If you have inability to obtain or maintain satisfactory erection after 18 months to two years, then seek an urologist specializing in erectile dysfunction. Obtain a penile duplex ultrasound. If you have severe arterial insufficiency, venous leakage or both, strongly consider a penile prosthesis.
    
    disclaimer: Always discuss all medical issues including all contents of this website with your physician. Use all products at own risk.