What Is Erectile Dysfunction? 

Erectile dysfunction (ED) is the most common sexual problem men experience after cancer treatment. 

Who Is More Likely to Have ED? 

ED has become more common with age. It is especially common in men who smoke, drink heavily, or have conditions such as heart disease or diabetes. By age 70, about half of all men experience erection problems. 

Cancer treatment can interfere with erections in several ways. Here are the most common: 

• Major surgery in the pelvis can damage the nerves that cause erection, for example radical surgery for prostate, bladder, or colorectal cancer 

• Surgery in the pelvis may also damage the inflow of blood to the penis 

• Radiation aimed at the pelvic area can reduce blood flow to the penis 

• Cancer treatments can decrease the hormone testosterone, which promotes sexual desire and erections. These treatments include hormone therapy for prostate cancer, some types of chemotherapy, radiation to the brain, or treatments that damage both a man’s testicles (surgery or radiation). 

  Finding the best treatment for ED usually takes some patience and willingness to try different options. 

• Pills such as Viagra® or Cialis® may not work well if treatment damages nerves or blood vessels. 

• Pumps and penile injections may work better, but many men stop using them over time. 

• A penile implant often has the highest satisfaction, but few men choose this option. 

• Be cautious of clinics that promote expensive ED treatments not supported by research. 

• Talk with your partner when deciding which ED treatment is right for you. 

• Medical treatment and sexual counseling together may improve results. 

• If your partner has vaginal dryness or pain, treatment may help make sex more comfortable. 

• Many couples enjoy intimacy even without firm erections. 

Vacuum Erection Devices

Inflatable Penile Prosthesis

Intraurethral Suppositories

Penile Injections