Quality of life matters after prostate cancer. Dr. Deebel helps men restore erectile function and urinary continence — ideally beginning before cancer treatment to plan ahead.
Survivorship care is most effective when it starts early. Meeting with Dr. Deebel before surgery or radiation establishes your baseline function and creates a personalized rehabilitation plan — so recovery of erections and continence can begin right away rather than months later. This proactive, pre-treatment consultation model is central to how he supports men through prostate cancer.
Nerve and blood-flow changes after surgery or radiation can affect erections, often temporarily.
Leakage with coughing, lifting, or activity, most common after radical prostatectomy.
Some men notice shortening; early rehabilitation can help preserve tissue health.
Effects on confidence and intimacy are common and are an important focus of recovery.
Baseline assessment and a personalized rehab plan before surgery or radiation.
Begin penile rehabilitation and pelvic floor training as healing allows.
Function often improves; treatments are escalated if needed.
If bothersome ED or incontinence persists, surgical options provide reliable restoration.
Care is staged from conservative rehabilitation to durable surgical solutions, based on your recovery and goals.
Oral medications used early to promote blood flow and support nerve recovery.
A pump that draws blood into the penis to maintain tissue health during recovery.
Traction therapy to help preserve penile length after treatment.
Self-administered injections that reliably produce erections when oral therapy is insufficient.
A discreet, highly satisfying implant for durable, on-demand erections when other options fall short.
Targeted exercises, often with a specialist, to strengthen continence muscles.
Fluid timing, bladder habits, and lifestyle strategies to reduce leakage.
A sling that repositions and supports the urethra for milder, persistent leakage.
The gold standard for significant incontinence — a cuff that restores reliable urinary control.
The sling is best for mild-to-moderate leakage, while the artificial urinary sphincter is preferred for moderate-to-severe incontinence. Importantly, men who have received pelvic radiation therapy are typically not good candidates for the sling, so the artificial urinary sphincter is generally recommended in that setting. The right choice depends on leakage severity, prior radiation, and your priorities — reviewed together before any decision.
Connect with Dr. Deebel — ideally before cancer treatment — to document baseline function.
Coordinate with your oncology team at the USA Mitchell Cancer Institute on timing and goals.
Begin penile rehabilitation and pelvic floor therapy as soon as it is safe after treatment.
Track recovery over the first year and adjust the plan as function returns.
Offer reliable surgical options if bothersome ED or incontinence persists.
An early visit documents your baseline erectile and urinary function and lets us start rehabilitation immediately after treatment. Beginning sooner generally leads to better recovery than waiting until problems are established.
Many men recover meaningful function over 12–24 months, especially with nerve-sparing surgery and early rehabilitation. When recovery is incomplete, effective treatments — up to a penile implant — can restore reliable erections.
Leakage is often greatest right after catheter removal and improves over the first 6–12 months with pelvic floor therapy. Persistent, bothersome incontinence after that can be corrected surgically.
It is a structured program — medications, a vacuum device, and traction — that keeps penile tissue healthy and oxygenated during the nerve-recovery window to improve long-term outcomes.
No. Survivorship care complements your oncology treatment and is coordinated closely with your cancer team so timing is always safe.
Yes. For men with both bothersome ED and significant incontinence, an inflatable penile prosthesis and an artificial urinary sphincter can be placed, and the approach is discussed individually.
Radiation can also affect erections and, less commonly, continence, sometimes with a delayed onset. The same rehabilitation and surgical options apply, tailored to your situation.
Schedule a survivorship consultation to protect your quality of life. In-person and telemedicine visits are available.