Erectile Dysfunction

What are the causes of Erectile Dysfunction that we treat?

Male sexual arousal is a complex process that involves the brain, hormones, emotions, nerves, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. The procedure that we offer addresses erectile dysfunction caused by nerve damage or interruption. Prostatectomy, prostate radiation, pelvic surgery, pelvic trauma and diabetes may all be causes of nerve dysfunction leading to erectile dysfunction.

Radical prostatectomy is a commonly used treatment option for complete remission of localized prostate cancer. Unfortunately, the operation carries a risk of postoperative complications including erectile dysfunction (ED). Although great advances have been made in surgical techniques and devices, the prevalence of ED after prostatectomy remains a major postoperative complication. The effects of radiotherapy for the treatment of prostate cancer can also contribute to ED.  40% of men report ED after radiotherapy, and half of all men use erectile aids thereafter.

What procedure do we offer?

At The Institute for Advanced Reconstruction, we perform a genitofemoral to cavernous nerve transfer to restore erectile function. A “nerve transfer” is a standard surgical technique that utilizes a healthy, functioning nerve, connecting it to an unhealthy, injured nerve, in order to restore the function in the injured nerve. This procedure is usually performed on an outpatient basis.

What are the potential benefits of this procedure?

Following the procedure, nerve regeneration is expected at around 6 to 9 months before the desired erection is possible. The standard of treatment for ED often focuses on short-term solutions however, our surgical option offers a long-term solution to ED.

You may be a candidate if you…

  • Are over 18 years old and otherwise healthy
  • Have a history of spontaneous erectile function prior to prostatectomy, prostate radiation, pelvic surgery, trauma or diabetes
  • Experienced a loss of erectile function after prostatectomy, prostate radiation, pelvic surgery, trauma or being diagnosed with diabetes
  • Are within 18 months of the onset of Erectile Dysfunction symptoms
  • Are willing and capable to proceed with surgery and follow-up appropriately
  • Are free from tobacco use, alcoholism and other forms of substance abuse

Please contact The Institute for Advanced Reconstruction if you are interested in learning more about this procedure.

ReferencesTal R, Alphs HH, Krebs P, Nelson CJ, Mulhall JP. Erectile function recovery rate after radical prostatectomy: a meta-analysis. J Sex Med. 2009;6(9):2538–2546.

Chung E, Brock G. Sexual rehabilitation and cancer survivorship: a state of art review of current literature and management strategies in male sexual dysfunction among prostate cancer survivors. J Sex Med. 2013;10 Suppl 1:102–111.

Fode M, Ohl DA, Ralph D, Sønksen J. Penile rehabilitation after radical prostatectomy: what the evidence really says. BJU Int. 2013;112(7):998–1008.

Alemozaffar M, Regan MM, Cooperberg MR, et al. Prediction of erectile function following treatment for prostate cancer. JAMA. 2011;306(11):1205–1214.

Have More Questions?

For more information please contact our Lymphedema Coordinator, Pam Maddox 732-741-0970 ext. 147.

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