It’s well documented that after a radical prostatectomy, the erectile function of most men will decrease significantly and may compromise their sex life. Unlike vaginal penetration in heterosexual couples, anal penetration generally requires more rigidity of the penis. So while men who can achieve a partial erection (with or without the help of medications such as Cialis®, Levitra® or Viagra® or other means) may be able to have vaginal intercourse, anal intercourse with the same extent of erection may not be possible.
A partners in a homosexual relationship on the receiving side of anal intercourse should also be careful after a radical prostatectomy. Since anatomically, the prostate is located directly in front of the rectum, the area may be delicate after a prostate cancer operation. In fact, one of the known complications of radical prostatectomy is rectal injury, which can be quite serious. Thus, after the surgery, you should consult with your urologist before receiving anal intercourse.
Finally, it’s worth emphasizing that after prostate cancer surgery, even though men may have a difficult time achieving a full erection, orgasm is still possible with adequate sexual stimulation to a flaccid penis. The presence of an erection, though helpful, shouldn’t be considered the only means for couples to achieve sexual pleasure. Erectile dysfunction after prostate cancer therapy can be well managed. Talk to your urologist about appropriate treatments and choose the one that you and your partner prefer.
