Prostatectomy: Recovery and Sexual Function After Surgery
Radical prostatectomy is one of the most commonly used treatments for prostate cancer. In addition to concerns about the surgical procedure itself, many men wonder what to expect afterward: how long recovery will take, when the catheter will be removed, whether they will be able to return to normal life, and what effects the operation may have on urinary continence and sexual function.
Understanding the main stages of recovery can help patients approach the process with greater confidence and awareness.
How does recovery after a prostatectomy take place?
After a prostatectomy, the patient remains in hospital for a period that varies depending on the type of procedure performed, the individual’s overall clinical condition, and the progress of postoperative recovery.
During the first few hours after surgery, it is normal to experience:
- Mild pain or discomfort at the surgical site.
- Fatigue.
- Temporary limitations in daily activities.
Early mobilization, following the recommendations of the medical team, promotes recovery and helps reduce the risk of complications.
Catheter after prostatectomy: how long is it needed and what is it for?
Following surgery, a urinary catheter is typically inserted to ensure proper drainage of urine while the operated tissues heal.
The duration of catheterization varies from patient to patient and depends on the specifics of the procedure and the surgeon’s recommendations.
During this period, it is important to:
- Carefully follow the instructions provided at discharge.
- Maintain proper catheter hygiene.
- Contact your doctor if you experience fever, significant pain, or difficulty with urine drainage.
Recovery after prostatectomy: what to do at home
Once discharged, patients can gradually resume their normal daily activities.
During the first few weeks, it is generally advisable to:
- Walk regularly.
- Avoid strenuous physical activity.
- Avoid heavy lifting.
- Follow the recommendations of your healthcare team regarding the return to work and sports activities.
Recovery times may vary depending on age, overall health, and the type of surgery performed.
Urinary incontinence after prostatectomy: is it normal?
Involuntary urine leakage is one of the most common side effects after prostate removal.
In most cases, it is a temporary condition that gradually improves over the months following surgery.
The recovery of urinary continence can take different amounts of time from person to person and depends on several factors, including:
- The patient’s age.
- Pre-existing urinary conditions.
- The characteristics of the surgical procedure.
- The ability of the pelvic floor muscles to recover.
How can urinary continence be restored after prostatectomy?
One of the most effective approaches is pelvic floor rehabilitation.
Specific exercises, performed under the guidance of experienced professionals, help strengthen the muscles involved in bladder control and may accelerate recovery.
In cases where incontinence persists over time, the urologist may evaluate additional medical or surgical treatment options.
Erectile dysfunction and sexual function after prostatectomy
Another common concern is the ability to regain satisfactory sexual function.
After radical prostatectomy, it is common to experience temporary difficulty achieving or maintaining an erection.
The specialist may recommend various therapeutic and rehabilitation strategies to support the recovery of erectile function.
Recovery depends on factors such as age, overall health, preoperative erectile function, and the characteristics of the cancer.
Is it still possible to have an orgasm?
Yes. After prostatectomy, many men retain the ability to experience orgasm.
However, the experience may be different from before surgery. Given that the prostate and seminal vesicles are removed, ejaculation no longer occurs during orgasm.
Does fertility change after prostatectomy?
After the prostate has been removed, it is no longer possible to achieve a natural pregnancy through sexual intercourse.
Men who wish to have children in the future should discuss fertility preservation options with their specialist before surgery.
When should you contact your doctor?
It is important to contact your healthcare team if you experience:
- Fever.
- Significant bleeding.
- Severe or persistent pain.
- Problems with catheter function.
- A sudden worsening of urinary symptoms.
A specialist evaluation and regular follow-up allow recovery to be monitored and help identify the most appropriate strategies for improving quality of life after surgery.