Penile Prosthesis Implantation after Radical Prostatectomy for Prostate Cancer
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.
When it comes to the treatment of erectile dysfunction – New York Urology Specialists are a step ahead. Better Science Means Better Care.
Erectile Dysfunction after Treatment for Prostate Cancer
Erectile dysfunction (ED) is one of the most common side effects of treatment for prostate cancer. Erectile dysfunction or impotence refers to difficulty with obtaining or maintaining an erection of the penis that is hard enough for sex.
ED is particularly common after radical prostatectomy in men who have some difficulty with erections preoperatively and in men over age 50. If other treatment options such as oral medications that include Viagra, Cialis, Stendra, or Levitra do not work, vacuum erection (VED) therapy, as well as intraurethral alprostadil (MUSE), can be effective. Penile injection therapy can also work for many men and can be considered as part of penile rehabilitation therapy after radical prostatectomy.
Penile Prosthesis after Radical Prostatectomy
A penile implant offers an effective treatment option for erectile dysfunction for men who experience ED as a side effect of treatment for prostate cancer. Men who have undergone robotic prostatectomy or open radical prostatectomy, radiation therapy or cryoablation for prostate cancer are candidates for the penile implant.
Penile implantation restores the function of the penis and allows men to resume sexual activity without the need for medications.
Erectile Dysfunction after Treatment for Prostate Cancer
Erectile dysfunction is very common after surgical treatment for prostate cancer with robotic radical prostatectomy or traditional radical prostatectomy. While nerve-sparing radical prostatectomy decreases the severity of erectile dysfunction and improves the chances of recovery, few men older than 50 experienced complete recovery of erectile function to the levels it was prior to surgery.
Most men with very good erections prior to surgery will require the use of oral PDE-5 inhibitor medications such as sildenafil (Viagra), tadalafil (Cialis), or Levitra.
Men with persistent erection problems after radical prostatectomy are advised to undergo a penile Doppler ultrasound to evaluate for veno-occlusive insufficiency (venous leak). Men with severe veno-occlusive insufficiency are unlikely to recover erectile function and may be best served by penile injection therapy, vacuum erection therapy, or penile implant.
Penile Rehabilitation after Radical Prostatectomy.
Men who undergo treatment for prostate cancer with radical prostatectomy, whether it is performed robotically, laparoscopically, openly or transperineally, tend to experience erectile dysfunction and penile length loss after surgery.
At New York Urology Specialists, we recommend early initiation of treatment to maximize the chances of erectile function recovery and to prevent length loss after radical prostatectomy.
Penile Implant after Radical Prostatectomy.
Men with moderate to severe erectile dysfunction prior to radical prostatectomy are unlikely to recover erectile function to the point that they can penetrate without the use of medications. Often, men who used sildenafil (Viagra) or tadalafil (Cialis) before surgery may require penile injections or a penile implant after surgery.
For men with severe erectile dysfunction 3 to 6 months after radical prostatectomy despite the use of PDE-5 inhibitors, we usually perform a penile Doppler ultrasound. If a man is not responsive to penile injections with Trimix, usually due to severe veno-occlusive insufficiency, it may be reasonable to proceed with penile implant surgery. Men with partial recovery of erections may want to wait before deciding how to proceed.
Penile Implant Options After Radical Prostatectomy
Men with erection problems after radical prostatectomy may be treated with penile implant surgery which is an effective option for treatment for erectile dysfunction.
There are 3 types of penile prostheses available for treatment for erectile dysfunction after radical prostatectomy: malleable penile prosthesis, three-piece inflatable penile prosthesis, and 2-piece inflatable penile prosthesis.
A malleable penile implant is the simplest to use as it does not need to be inflated and deflated and provides good satisfaction. Inflatable penile prostheses are a little bit more sophisticated and have higher erection rigidity satisfaction rates.
Usually, after radical prostatectomy, if a three-piece penile implant is chosen, the reservoir is placed in the belly, and sometimes it may be palpable or protrude under the skin in what we call “ectopic position”. The three-piece inflatable penile implant offers better rigidity potential than a 2-piece inflatable penile implant. However, the 2-piece inflatable penile implant also offers adequate rigidity for sexual activity.
The 2-piece inflatable penile implant has the advantage of not having a reservoir and avoids the need for abdominal surgery. It is particularly useful in thinner men and in men who are concerned about the cosmetic appearance of their abdomen.
The Bottom Line
Prior surgery for prostate cancer does not affect the success of a penile implant in treating erectile dysfunction.
Penile implant surgery can reliably treat men with erectile dysfunction regardless of the cause. Men with ED after treatment for prostate cancer are good candidates for the penile implant.
How Soon After Prostate Surgery (Radical Prostatectomy / Robotic Prostatectomy) Can Penile Implant be Performed?
A penile prosthesis can be implanted soon after radical prostatectomy once the patient recovers from prostate surgery. Usually for men who had good erections before surgery, waiting 6-12 months is optimal to see if the natural erections return.
Men with severe ED prior to surgery or severe ED 3 months after prostatectomy may choose to have penile prosthesis surgery earlier as a recovery of adequate erections without the use of oral or injectable medications is unlikely. Penile rehabilitation therapy is advisable as soon as the patient recovers from prostate surgery.
Where to Get Treatment for ED in NYC?
At New York Urology Specialists, we offer specialized treatment for ED for men. Same-day appointments are available.
Call/text today: 1-646-663-5211 or make an appointment online.
We treat sexual and erection problems and offer comprehensive STD testing for infections. We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty. We offer confidential appointments.
Our prices are ED treatment prices are affordable with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients. We offer free insurance verification.
Read Real Stories of Men who Underwent Treatment for ED at New York Urology Specialists.
We offer ED treatment to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, and Connecticut, and over 30 countries worldwide.
- Read RealStories: 69-year-old Man Treated with Ambicor Penile Implant after Prostate Surgery for Prostate Cancer
- Read RealStories: 77-year-old with Erection Problems Treated with Penile Implant
- Read RealStories: 56-years-old diabetic treated with testosterone replacement therapy and Trimix
What do Penile Problems Look Like?
You can find pictures of penile problems including before and after treatment images in our image gallery.
What You Need to Know:
- Erectile Dysfunction in Young Men
- No scalpel vasectomy: Who is a good candidate?
- Why Cialis No Longer Works for You: Top 5 Reasons
- How Does Shockwave for ED Work? – Mechanism of Action
Why Choose New York Urology Specialists for Treatment of Erectile Dysfunction?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of ED, premature ejaculation, and other sexual problems using medical therapy, minimally invasive therapies, lasers, and surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual, and erection problems in men.
- We offer diagnostic testing in our office which avoids hospital costs.
- Extensive Experience: Thousands of men have treated successfully using medical therapy, shockwave therapy for ED, penile injections with Trimix, and penile implant surgery.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
- We are conveniently located within 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
Scheduling Appointments for ED Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable prices with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.
We offer weekday, weekend, and evening office hours.
Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation, and other sexual concerns. He has successfully treated hundreds of men with sexual problems including ED and poor libido.
Add Reviews
by virginia on May 12, 2022
Today is the happiest day of my life, because problems I have been battling with over the years are now solved. My wife almost left me because she was unable to put in (pregnant) as result of my weak erection and premature ejaculation, I looked everywhere for a solution all to no avail, I have even been scammed severally before I met a Man called dr Austin who put an End the problem. If you are having erectile dysfunction contact him with this email doctoraustin3@gmail . com call or what-apps him through +2349155032399 . .he also specialize on the following thingsPENILE/PENIS ENLARGEMENT Hidradenitis Suppurativa Trust diabetes Cure HIV Cure GENERAL BODY Herpes cure Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,
by Winston - via Healthgrades.com on Feb 14, 2021
Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.
by via HealthGrades.com on Jan 29, 2021
Dr. Shteynshlyuger helped to solve my problem with ED
by A. Pereira via Vitals.com on Jan 21, 2021
Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S
by Luis via Google.com on Jan 11, 2021
THEY TAKE GOOD CARE OF YOU AND THEY TREAT YOU LIKE FAMILY AND LOOK OUT FOR YOU
by Anthony via Healthgrades.com on Jan 07, 2021
My problem with ED is gone with my treatment from New York Urology!
What went well
Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisionsWhat could be improved
by via HealthGrades.com on Jan 04, 2021
Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.
by Javier - Via Google.com on Oct 11, 2020
I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don't regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.
by Vladimir via Google.com on Sep 23, 2020
I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception.
by via HealthGrades.com on Apr 12, 2020
excellent doctor and all very friendly staff
by Christopher via Google.com on Mar 11, 2020
The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.
by Jose A La Luz on Jan 24, 2020
by via HealthGrades.com on Oct 29, 2019
Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful. He performed a Shang Ring circumcision for me and the procedure went well. I'm pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I'd recommend him. The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months.
What went well
Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn't rushed Listened & answered questions Explained conditions well Trusted the provider's decisionsWhat could be improved
by via HealthGrades.com on Aug 13, 2019
Office very convenient location Don’t have to wait for long Staff very friendly Dr shteynshyuer very experienced I had my serviced done in 3 visits now I feel good now Than you Dr. shteynhlyuger
by Robert Clarke on Aug 04, 2019
Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.
by Karl Henry on Jul 24, 2019
Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.
by JOHN on Jul 18, 2019
Therefore I would like to recommend you to anyone who need your services.
by Oliver on Jul 18, 2019
Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
by Allan B. on Jul 09, 2019
Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!
by Wyts on Sep 15, 2018
Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex
by Winston on Sep 15, 2018
I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex
by Lee St. James on Sep 01, 2018
Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee
by Christopher cato on Aug 16, 2018
Outstanding service
by Andrei on Aug 15, 2018
Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense
by juanito creque on Apr 11, 2018
I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.
by JD on Jan 15, 2018
Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis
by Jacob on Dec 05, 2017
"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via HealthGrades.com 12/5/2017
by Bob Brown on Nov 19, 2017
I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.
by Clarence Brown on Sep 14, 2017
I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by George & Sally R on Jan 07, 2013
Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013
by Joyce T on Feb 16, 2012
Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.
ED is Treatable in Nearly Every Man
Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED. We offer medical and surgical treatment for erectile dysfunction.
We Treat Some of the Most Complex ED Problems Including:
- Erectile dysfunction in men with prostate cancer after radical prostatectomy
- Impotence in men with diabetes.
- Erectile dysfunction in men with Peyronie’s disease
- Erectile dysfunction in men for whom Viagra and Cialis do not work.
- Erection problems in men with low testosterone.
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If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.
We offer weekday, weekend, and evening office hours.
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