Sexual Function After Robotic-Assisted Prostatectomy (RARP)
At healthXY, we understand that sexual health is an important concern for many patients undergoing a robotic-assisted radical prostatectomy (RARP). We aim to provide a supportive, informed perspective on what you can expect regarding sexual function after the procedure, so you and your loved ones can make well-informed decisions about your care.
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The Impact of RARP on Sexual Function
Robotic-assisted radical prostatectomy (RARP) is an advanced surgical procedure to remove the prostate gland, often performed to treat prostate cancer. During this surgery, the nerves responsible for sexual function, known as the neurovascular bundles, are in close proximity to the prostate. It is possible for these delicate nerves to be affected, leading to changes in sexual function. Erectile dysfunction (ED) is a common side effect following prostate surgery, but the extent of the impact can vary greatly between individuals.
Nerve-Sparing Technique
The nerve-sparing technique aims to protect the delicate nerves surrounding the prostate, which are responsible for erections. If the cancer is localised and it is safe to do so, your surgeon will strive to preserve these nerves during RARP. When nerve-sparing is successfully achieved, there is a greater chance of recovering erectile function post-surgery. However, it is important to note that recovery is not immediate and may take several months to years.
Recovery Timeline
Recovery of sexual function following RARP varies from patient to patient. Typically, it can take between 6 to 24 months for men to regain spontaneous erections, and some men may take longer. Factors such as age, pre-existing erectile function, overall health, and whether the nerve-sparing technique was used all play a role in the speed and extent of recovery.
Rehabilitation Options
Sexual rehabilitation after RARP can significantly aid in regaining erectile function. This often involves a combination of the following:
- Medications: Phosphodiesterase type 5 inhibitors (PDE5i), such as sildenafil (Viagra) or tadalafil (Cialis), can help improve blood flow to the penis and assist in achieving erections.
- Vacuum Erection Devices (VEDs): These devices help stimulate blood flow to the penis, which may improve erectile function over time.
- Penile Injections: For some men, penile injections can be an effective way to achieve erections suitable for intercourse.
- Pelvic Floor Exercises: Strengthening pelvic floor muscles can also help support the recovery of sexual function post-surgery.
Emotional Well-being
It is important to consider the emotional and psychological impact of changes in sexual function after RARP. Open communication with your partner and healthcare team is crucial. Counselling or therapy can also be beneficial for both you and your partner as you adjust to changes and work on recovering sexual function. At healthXY, we support our patients with holistic care, ensuring your emotional health is as much a priority as your physical recovery.
Setting Realistic Expectations
Understanding the potential challenges regarding sexual function is crucial for setting realistic expectations. While some men may recover fully, others may experience ongoing challenges with erectile function. Factors like age, health conditions, and the extent of nerve preservation all contribute to the outcome. Discussing your concerns and expectations with your healthcare provider before surgery will help you prepare for the possible changes and plan an effective recovery strategy.
healthXY Is Here for You
At healthXY, we are committed to guiding our patients through every step of their journey, including the often-challenging recovery of sexual function after prostate surgery. Our team is here to support you with personalised advice, rehabilitation programmes, and compassionate care to help you regain as much of your sexual health as possible.
If you have any questions or would like to discuss your concerns about sexual function after RARP, please do not hesitate to reach out to our experienced specialists.
Get in Touch
Get in touch with us today! Our dedicated team is here to assist you with any questions or concerns you may have. We encourage you to reach out to us via email, phone, or by filling out our convenient online form. Your inquiries are important to us, and we look forward to providing you with the support you need.
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