How can prostate cancer cause erectile dysfunction

Erectile dysfunction is a common concern for individuals undergoing prostate cancer treatment. Several procedures, such as complete removal of the prostate gland or radiation treatment, can lead to damage to blood vessels and nerves, which can cause this issue. While hormone deprivation treatment does not directly affect physical functioning, it can impact your desire and interest in sexual activity.

Fortunately, there is a nerve-sparing surgical method that has been developed to help alleviate the problem. However, it’s important to know that even with this method, 2 to 4 out of 10 individuals may still experience erection problems after surgery. Additionally, it’s worth noting that radiation treatment can cause erectile dysfunction that may not appear for a few weeks or months.

Author: Dr. Volker Henn| Reviewer: Dr. Christian Keinki

Sources:

• How Cancer Can Affect Erections | Adult Males with Cancer. (2020). American Cancer Society. https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/fertility-and-sexual-side-effects/sexuality-for-men-with-cancer/erections-and-treatment.html
• Difficulty getting an erection | Prostate cancer | Cancer Research UK. (2019). Cancer Research UK. https://www.cancerresearchuk.org/about-cancer/prostate-cancer/practical-emotional-support/sex-relationships/difficulty-getting-erection
• Yetman, D. (2020, November 20). What Are the Most Common PDE5 Inhibitors? Healthline. https://www.healthline.com/health/pde5-inhibitors
• Roland, J. (2020, March 5). Erectile Dysfunction Injections: How to Inject, What to Expect, and More. Healthline. https://www.healthline.com/health/erectile-dysfunction-injections
• Alprostadil (Urethral Route) Proper Use – Mayo Clinic. (2022). MayoClinic. https://www.mayoclinic.org/drugs-supplements/alprostadil-urethral-route/proper-use/drg-20138507?p=1
• Erectile Dysfunction (ED): Causes, Diagnosis & Treatment. (2019). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/10035-erectile-dysfunction#:%7E:text=Mechanical%20aids,penis%20and%20causes%20an%20erection.
• Case-Lo, C. (2018, September 17). Exercises to Eliminate Erectile Dysfunction. Healthline. https://www.healthline.com/health/erectile-dysfunction/exercises