2. Erectile Dysfunction Therapy
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.
(reference source: MedScape)
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
3. Nerve and Blood Vessel Damage
Likely 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.
(reference source: MedScape)
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
4. Penile Shrinkage
Following Prostate Cancer Surgery
It’s common for men who undergo prostate cancer
surgery to experience a loss of penile length
averaging 1-2 cm after the 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.
(reference source: MedScape)
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
5. Erectile Dysfunction Recovery Goals
Following 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
(reference source: MedScape)
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
6. Erectile Dysfunction Recovery Protocol
EDOX (A Natural Supplement)
1 EDOX 2X Daily doses to help protect penile erectile tissue
both endothelium and smooth muscles and to
accelerate healing and promote erections
Vacuum Erection Therapy
2 VED System 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
Oral ED Medication
3 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.
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
7. Erectile Dysfunction Therapy
EDOX Following Prostate Cancer Surgery
1. The Role of Daily EDOX
EDOX is a natural patented
supplement containing;
• L-Arginine
• Citrulline
• Pycnogenol
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.
.
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.
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
8. Erectile Dysfunction Therapy
VED Following Prostate Cancer Surgery
2. The Role Daily VED Therapy
Daily VED® Therapy involves using the Vacuum erection devices (VED) creates
VED system (without constriction) to draw vacuum, which draws blood into the penis,
blood into the penis to stretch the tissue and engorging and expanding penile tissue.
smooth muscles in an effort to help maintain
length and width.
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
9. Daily VED Therapy Protocol
Daily Therapy
Daily VED® Therapy Protocol 10 minutes
per day
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. This
will 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 until
you experience regular night-time erections or spontaneous daytime erections or
consult your physician for more specific instructions on a stopping point.
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
10. Erectile Dysfunction Therapy
PDE5i Following Prostate Cancer Surgery
3. The Role of Oral ED Medication
Oral ED medication (called PDE5 inhibitors)
such as; Viagra, Cialis or Levitra are used to
help promote and maintain a natural erection.
*Caution: Some men may unable to take
Note: Oral ED medication may also help to oral ed medication (PDE5 Inhibitors) due
protect penile erectile tissue including both to medical condition or side effects, check
with your doctor.
endothelium and smooth muscle tissue.
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
11. Suggested 12 Month ED Recovery Strategy
CAUTION: Always consult your physician for appropriate ED diagnosis and management.
At 6 Weeks - 3 Months 3 Months - 6 Months 6 Months -12 Months
Clinical Goals Clinical Goals Clinical Goals
•Preserve penile tissue and size •Return of night-time erections or •Return of night-time/
•Respond to ED medication respond to oral medications spontaneous erections respond
to oral med’s
Steps to Achieve Your Goals Steps to Achieve Your Goals Steps to Achieve Your Goals
•EDOX Supplement 2x daily •Continue EDOX Supplement 2x •Continue EDOX Supplement
daily if no night-time or spontaneous 2x daily if no night-time or
•Daily VED Therapy 1x daily erections spontaneous erections
(without a constriction band)
•Continue Daily VED Therapy if no •Continue Daily VED Therapy
•ED medication as prescribed night-time or spontaneous erections if no night-time or spontaneous
(Viagra, Cialis, or Levitra) erections
•Increase/decrease oral medication
dosage as needed •Increase/decrease oral
medication dosage as needed
•Discuss alternative medication
(injections or MUSE) •Conduct full ED evaluation
and discuss other options
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
12. Erectile Dysfunction Recovery Supplies
1 EDOX
3 Bottles
2 Vacuum Erection
Therapy System
3 Oral ED Medication
(if prescribed-Rx)
Viagra Cialis or Levitra
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
13. Patient Support Line
(404) 425-7928
Intimacy and Wellness Center 1800 Howell Mill Road, Piedmont West, Suite 750R, Atlanta, GA 30318 (404) 425-7928
