Erectile Dysfunction After Prostatectomy: A Comprehensive Guide

If you're experiencing erectile dysfunction (ED) after prostatectomy, you're not alone. Many men face this challenge, but effective treatments like sildenafil (Viagra) and tadalafil (Cialis) are available to help restore function. Hi-Doctor connects you with EU-licensed doctors who can assess your case online and, if appropriate, issue a prescription. Your €35 online consultation leads to an electronic prescription in under 24 hours, valid at any pharmacy across the EU.

How it works: get your ED medication prescription in 4 steps

1. Fill out a brief online medical questionnaire (2–3 minutes) and pay the €35 consultation fee.
2. A licensed EU doctor privately reviews your case. If the doctor determines the treatment is not appropriate, your €35 is refunded automatically, so there is no risk. You pay nothing.
3. If approved, you receive a valid electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Print the PDF or show it on your phone and present it at any pharmacy in the EU to collect your medication.

Who qualifies for ED medication after prostatectomy

Our EU-licensed doctors review your specific medical history to determine if sildenafil, tadalafil, or other PDE5 inhibitors are appropriate for you. They look for:

• A confirmed diagnosis of erectile dysfunction following radical prostatectomy.
• No contraindications such as severe cardiovascular disease, recent stroke or heart attack, or concurrent use of nitrate medications (often used for chest pain).
• Overall good health that allows for the safe use of these medications.
• Your pre-operative sexual function and the extent of any nerve-sparing techniques used during surgery.

The doctor will assess your individual situation to ensure the treatment is safe and effective for your recovery.

What ED medication actually does (and doesn't do)

Medications like sildenafil and tadalafil are phosphodiesterase-5 (PDE5) inhibitors. They work by relaxing the blood vessels in your penis, increasing blood flow when you are sexually stimulated. This helps you achieve and maintain an erection sufficient for sexual activity. They do not cause an instant erection without stimulation, nor do they increase libido. They are aids to natural sexual function, helping overcome the physical challenges posed by nerve damage or reduced blood flow after prostatectomy.

• Sildenafil (Viagra): Typically works within 30-60 minutes and is effective for about 4-6 hours.
• Tadalafil (Cialis): Known for its longer duration, lasting up to 36 hours. It can be taken as needed or in a daily low dose.

Recovery timelines vary, but consistent use as part of a rehabilitation protocol can significantly improve outcomes over several months to a couple of years.

Side effects and when to stop

Common side effects of PDE5 inhibitors include headache, flushing, nasal congestion, indigestion, and visual disturbances (especially with sildenafil). These are usually mild and temporary. Serious side effects are rare but can include a sudden decrease or loss of vision or hearing, or an erection lasting longer than four hours (priapism). If you experience any severe or persistent side effects, or a prolonged erection, stop taking the medication and seek immediate medical attention. Your Hi-Doctor will provide detailed information on potential side effects and interactions.

Why Hi-Doctor vs. walking into a clinic

Hi-Doctor offers a modern, patient-centric approach to getting your erectile dysfunction medication prescription:

• Speed: Get your prescription in under 24 hours, compared to weeks for an in-person appointment.
• Price: A flat €35 online consultation fee, with a money-back guarantee, versus variable and often higher private clinic fees.
• Privacy: All consultations happen in a secure, RGPD-compliant chat within your account. No reception desks, no waiting rooms.
• Convenience: Access expert medical care from your phone or computer, anywhere in the EU, without travel.
• Trust: Join over 50,000 patients who trust Hi-Doctor, reflected in our 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.