Penile Rehabilitation Program

Patient Information

Following Prostate Cancer Surgery

BAD NEWS - Up to 70% of men experience some

temporary loss of normal sexual function following prostate cancer surgery.

GOOD NEWS - Most men who experience some temporary loss of normal sexual function will see a return of erectile function (typically 3 to 24 months).

RECOVERY - How fast and how well you will recover typically depends on three things:

1) Quality of erections before surgery.2) How well your doctor spared your nerves and

minimizing trauma during the procedure.3) The steps YOU take during your recovery period.

Erectile Dysfunction TherapyFollowing Prostate Cancer Surgery

Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928

(reference source: MedScape)

Nerve and Blood Vessel DamageLikely Cause of Post Surgery ED


Often vascular interruption along with mild trauma to the nerves and blood vessels that are necessary to create an erection can be damaged during prostate cancer surgery procedure.

As a result many men are unable to have night-time erections and spontaneous (or natural) erections for 3 to 24 months.


It’s common for men who undergo prostate cancer surgery to experience a loss of penile length averaging 1-2 cm after the surgery.

Penile ShrinkageFollowing Prostate Cancer Surgery


The shortening is due to a combination of factors, including atrophy (muscle shrinkage) likely caused by the reduction or loss of night-time erections that help to maintain penile health.


Erectile Dysfunction Recovery GoalsFollowing Prostate Cancer Surgery

1.Preserve penile tissue

2.Preserve penile length and width

3.Avoid atrophy (muscle shrinkage)

4.Mimic nocturnal (nighttime) erections

5.Promote vascular healing

6.Achieve early return to sexual function



Erectile Dysfunction Recovery Protocol

Oral ED Medication As needed PDE5i (Viagra Cialis or Levitra)to help create and maintain an erection Caution: Some men may unable to take PDE5 Inhibitors due to medical condition or side effects, check with your doctor.

Vacuum Erection Therapy Daily use of the Vacuum erection device (VED) to draw blood into the penis and for use in creating and maintaining an erection for intercourse

EDOX (A Natural Supplement)2X Daily doses to help protect penile erectile tissue both endothelium and smooth muscles and to accelerate healing and promote erections


EDOX

Oral EDMedication

VED System

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1. The Role of Daily EDOX

Erectile Dysfunction Therapy EDOX Following Prostate Cancer Surgery

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EDOX is a natural patented supplement containing;• L-Arginine • Citrulline • Pycnogenol

EDOX helps improve and support the function of blood vessel cells by improving the ability of cells in the blood vessel lining (called endothelial cells) to produce Nitric Oxide. Nitric Oxide relaxes the tissue, and blood is allowed to rapidly flow into the penis to form an erection.


These important nutrients help protect, restore, and sustain endothelial and smooth muscle tissue, increase nitric oxide levels and improve vascular integrity and blood flow in the genital region.

2. The Role Daily VED Therapy

Erectile Dysfunction Therapy VED Following Prostate Cancer Surgery

Daily VED® Therapy involves using the VED system (without constriction) to draw blood into the penis to stretch the tissue and smooth muscles in an effort to help maintain length and width.

Vacuum erection devices (VED) creates vacuum, which draws blood into the penis, engorging and expanding penile tissue.



Daily VED® Therapy Protocol

Time Commitment: 10 minutes per day

Therapy Goal: Create and maintain multiple erections within a 10 minute period. Each erection will be held for one minute. NOTE: Do not use a constriction ring for daily VED® Therapy.

Three Simple Steps:

STEP 1 Use the VED® to create as much of an erection as comfortable.

STEP 2 Maintain the erection for 1 minute. After the minute is up, release the vacuum. Thiswill cause the blood to flow out of the penis and back into your body.

STEP 3 Repeat steps 1 and 2 until you have achieved a total of 5-7 erections. Continue untilyou experience regular night-time erections or spontaneous daytime erections or consult your physician for more specific instructions on a stopping point.

Daily Therapy

Daily VED Therapy Protocol

10 minutes per day

3. The Role of Oral ED Medication

Erectile Dysfunction Therapy PDE5i Following Prostate Cancer Surgery

Oral ED medication (called PDE5 inhibitors) such as; Viagra, Cialis or Levitra are used to help promote and maintain a natural erection.

Note: Oral ED medication may also help to protect penile erectile tissue including both endothelium and smooth muscle tissue.

*Caution: Some men may unable to take oral ed medication (PDE5 Inhibitors) due to medical condition or side effects, check with your doctor.


3 Months - 6 Months

Clinical Goals•Return of night-time erections or respond to oral medications

Steps to Achieve Your Goals•Continue EDOX Supplement 2x daily if no night-time or spontaneous erections

•Continue Daily VED Therapy if nonight-time or spontaneous erections

•Increase/decrease oral medicationdosage as needed

•Discuss alternative medication(injections or MUSE)

At 6 Weeks - 3 Months

Clinical Goals•Preserve penile tissue and size•Respond to ED medication

Steps to Achieve Your Goals•EDOX Supplement 2x daily

•Daily VED Therapy 1x daily (without a constriction band)

•ED medication as prescribed(Viagra, Cialis, or Levitra)

CAUTION: Always consult your physician for appropriate ED diagnosis and management.

Suggested 12 Month ED Recovery Strategy

6 Months -12 Months

Clinical Goals•Return of night-time/spontaneous erections respond to oral med’s

Steps to Achieve Your Goals•Continue EDOX Supplement 2x daily if no night-time or spontaneous erections

•Continue Daily VED Therapy if no night-time or spontaneous erections

•Increase/decrease oral medication dosage as needed

•Conduct full ED evaluation and discuss other options


Erectile Dysfunction Recovery Supplies

Oral ED Medication (if prescribed-Rx)Viagra Cialis or Levitra

Vacuum Erection Therapy System

EDOX 3 Bottles


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Patient Support Line


(404) 425-7928

Education

Penile Rehabilitation Program