Sexual recovery after urological surgery can become an emotional burden if the patient does not have access to clear guidance from their doctor.
Urological surgeries cause changes in a man’s life, and not only in structures such as the prostate, penis, testicles, kidneys, bladder or urethra.
The pelvic region, where these structures are located, is closely related to self-esteem, confidence and sexual well-being. Therefore, during the postoperative period, many questions may arise and make it more difficult for the patient to adapt to this new situation.
However, clinical experience shows that many men may resume sexual activity after this type of surgery, especially when there is adequate follow-up and adherence to the recovery plan, always taking into account the particularities of each case.
Below, understand which factors can influence sexual function after urological surgery and how this information can help you prepare for the moment of returning to sexual activity.
Why sexual recovery after urological surgery worries so many men
Sexual recovery after urological surgery brings together physiological, psychological and identity-related aspects, which can make this process complex.
The procedures performed in the pelvic region can initially cause discomfort, pain and physical limitations, which are usually temporary.
In addition, the interventions tend to cause changes in the appearance or functioning of the operated area, which may generate some estrangement until the patient adapts.
The man may also worry about his sexual performance after surgery, due to fear of erectile dysfunction.
Questions related to erection, ejaculation, sensitivity and pleasure can cause emotional stress and lead some patients to avoid sexual intercourse.
It is common for negative feelings such as sadness, anxiety, irritability and fear to appear during this period.
For this reason, it is essential to talk early with the urologist about risks, recovery time, possible side effects and complementary treatments. This attitude can help reduce anxiety and increase confidence throughout sexual recovery after urological surgery.
Common myths about sexual recovery after urological surgery — and what is true
Sexual life after urological surgery can be satisfactory, but it is important to clarify the main myths about sexual recovery and to prepare for this phase.
Myth 1: “Every urological surgery causes impotence”
Although urological surgeries can significantly increase the risk of impotence, it is not correct to say that all of them cause erectile dysfunction automatically or irreversibly.
Erectile dysfunction in this type of surgery occurs as a result of damage to blood vessels or nerves.
However, when the procedure is performed by qualified professionals, who assess the case in advance and plan an individualized surgical strategy, measures can be adopted that aim to reduce this risk, within the limits of each clinical situation.
Myth 2: “The erection never returns to normal”
In many cases, there may be some degree of recovery of erectile function. However, recovery after surgery does not always approximate the preoperative level or return completely.
The time and degree of sexual recovery after urological surgery vary according to age, previous erectile function, type of treatment, preservation of nerves and vessels, as well as adherence to the rehabilitation process and medical follow-up.
Myth 3: “Avoiding sex for a long time is better for recovery”
Prolonged abstinence is not necessarily beneficial for recovery. Following the urologist’s recommendations for each case is essential.
Recommendations vary depending on the procedure. In the case of a penile prosthesis implant, after medical clearance, it is important for the man to gradually resume sexual activity to adapt and assess his satisfaction with the implant.
Myth 4: “Medication for erection is the only solution”
If the patient presents impotence after urological surgery, it may be possible to carry out an individualized treatment plan to support erectile function and penile rehabilitation.
Oral medications (PDE5 inhibitors) are usually considered first-line treatment.
If the patient does not obtain a satisfactory response, it may be possible to use intracavernous injections under medical supervision. In more severe cases, a penile prosthesis implant may be considered as a later option.
In parallel, the urologist may recommend complementary therapies, such as vacuum devices, shockwave therapy or specific physiotherapy for the penile region.
Myth 5: “Sexual desire always decreases after surgery”
Immediately after surgery, sexual desire tends to decrease due to factors such as pain, stress or reduced testosterone when there is hormone therapy.
As recovery progresses, some men may notice improvement in libido and quality of life, always depending on the type of surgery performed, the clinical scenario and ongoing follow-up.
Factors that can support male sexual recovery after urological surgery
During the postoperative period, the urologist will guide the patient on best practices that may help with penile rehabilitation after urological surgery. See some of these measures below.
Pelvic physiotherapy and exercises
Pelvic physiotherapy helps strengthen the pelvic floor — structures that are fundamental for erection and ejaculatory control during sexual intercourse.
Physiotherapy may be carried out with specific equipment or through Kegel exercises, as indicated by the doctor.
These therapies may help relieve pain, contribute to recovering strength, coordination and muscle endurance, and promote blood flow in the penile region, when indicated and guided by qualified professionals.
Postoperative care of the penis and body
Paying attention to hygiene and local care is very important to support male sexual function during recovery.
The operated area should be kept clean, dry and protected, as instructed by the doctor, to promote healing and help prevent complications such as infection.
In addition, the patient may need to use penile rehabilitation devices, such as vacuum pumps, which can stimulate circulation and help prevent atrophy of the corpora cavernosa, contributing in some cases to the management of erectile function, according to medical guidance.
In such situations, it is essential to follow the urologist’s recommendations, as improper use may cause complications.
Guidance from the urologist and ongoing follow-up
Following the urologist’s recommendations in the sexual postoperative period is an important way to promote safer recovery and to assess surgical results in an appropriate way, within the possibilities of each case.
Each stage of the treatment is planned to support sexual health, and any changes should only be made under professional guidance.
Regular follow-up appointments allow the doctor to monitor the patient’s progress, identify possible complications early and answer questions, including those related to erectile function and penile rehabilitation.
Questions about sexual recovery after urological surgery? Talk to Dr. Paulo Egydio
After urological surgery, it is common for men to have concerns. Many do not know with whom they can share their doubts, and talking to Dr. Paulo Egydio may help clarify some of these issues.
The physician has worked for more than 25 years in the field of male sexual health and has experience in the follow-up of patients undergoing urological procedures. During the consultation, aspects such as anxiety, expectations and sexual recovery after urological surgery can be discussed based on the individual clinical evaluation.
Bring your questions to Dr. Paulo Egydio. Contact our team and schedule a consultation to discuss each step of the postoperative period and the possibilities for sexual life after urological surgery.
