If you've been advised that you need to have your prostate removed, you will undoubtedly be gathering a lot more information to help you understand what is involved, and crucially, how your life will be after the procedure. These days, you may be able to take advantage of robotic surgery, which is less intrusive and can help ensure that you get back to normal more quickly in many cases, but you will still want to know what to do thereafter. In particular, you may be worried about your sex life and need to have a conversation with your partner. So what can you expect as a result?
The Bigger Picture
To begin with, you should refrain from having sex until the incision has healed or you have control over your urinary flow. Before you proceed, however, understand that there will be a considerable change following the removal of your prostate, as the prostate gland makes the seminal fluid that comes out of the end of the penis during ejaculation. When it is no longer there, the fluid will not be generated and will not appear during sex. Consequently, you will not be able to father a child after the procedure, which is, of course, one of the major drawbacks.
Changes to Function
You may notice a change to your sexual function following the surgery, due to the capability of the nerves that run next to the prostate gland. Much care will be taken to avoid damaging any of these nerves during the procedure, but it is not uncommon for there to be some effect, and it may take time before you can achieve a full erection again. Sometimes, this can take a matter of months, and don't be surprised if your erection is far less firm than it used to be.
Medicines to Help
It is possible to get some help with this situation by taking proprietary medicines that can help you to achieve a fuller erection. This is something that you should discuss with your doctor, so that you can be as happy as possible with your sexual activities following the robotic prostate surgery.
It's important for both of you to set reasonable and realistic expectations and you should not rush back to sexual activity until you feel that you are ready, both physically and emotionally. If you have any questions whatsoever, talk with your doctor or surgical staff so that you can put your mind at rest.