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After Prostate Surgery, You Deserve a Clear Path Back to Intimacy
The surgery went well. But no one told you what to do when the erections didn't come back. You're not broken — and you're not out of options.
The surgery went well. But no one told you what to do when the erections didn't come back. You're not broken — and you're not out of options.
We assess what is actually blocking your recovery.
We look at nerve function, tissue health, and pelvic floor strength — not just the symptom.
We use technologies that reach deep enough to matter.
Focused shockwave and EMTT work at tissue depth, targeting the structures that surgery affected.
We support the whole recovery, not just the first few sessions.
Pelvic floor strengthening and progressive rehab help protect and build on your gains long-term.
60-minute one-on-one assessment + treatment plan.
No pressure, no contracts.
If any of this sounds familiar, you're in the right place.
It's been weeks or months since surgery and erections still haven't returned
You're getting partial erections but nothing reliable or firm enough
Urinary leakage during sex or intimacy is affecting your confidence
Your surgeon said "give it time" but no one told you how long or what to do
You've tried pills and they haven't worked well enough — or at all
You feel like the recovery window is closing and you're running out of time — but you're not ready to give up
The Real Problem
Explore 4 slides on Penile Rehabilitation Post-Prostate Surgery
Most men have several of these happening at once. That's why we assess nerve recovery, tissue quality, pelvic floor strength, and post-surgical tissue changes — not just one piece of the puzzle. Your plan will reflect exactly which drivers are most active in your case.
OUR APPROACH
INITIAL VISIT
Assess erection recovery status, continence, and nerve function patterns
Identify pelvic floor weakness, post-surgical tissue changes, and contributing factors
Map the specific drivers in your case with a clear, written treatment plan before you commit
Weeks 1 to 8 of Program
Focused shockwave therapy — reaches deep tissue to support vascular health and tissue regeneration signaling
EMTT (extracorporeal magnetotransduction therapy) — adjunctive support for tissue repair at the pelvic level
Pelvic floor physiotherapy with biofeedback training — rebuild coordination, control, and continence
Begin reactivating erection response and protecting penile tissue health during the nerve recovery window.
8+ Weeks and Beyond
Progressive pelvic floor strengthening targeting ischiocavernosus and bulbocavernosus muscle function
Home exercise protocol designed to maintain gains and prevent relapse from protocol dropout
Re-assessment milestones to track erectile function, continence, and program adherence over time
What To Expect
Every case is different, but research and our clinical experience consistently show:
Shockwave therapy trials in men after prostate surgery show improvements in erectile function scores within weeks to months of starting a structured protocol. Effect sizes vary by individual, and earlier starts tend to show better responses.
In a randomized controlled trial, 47.1% of men who completed pelvic floor biofeedback physiotherapy recovered functional erections at 12 months, compared to 12.5% in the control group. Continence and erection recovery track closely together.
Starting rehabilitation 4 to 6 weeks after surgery is associated with better outcomes by protecting tissue health early. That said, men who are 12 or more months post-surgery can still respond meaningfully — it is rarely too late to start.
Our promise: we will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we will refer you directly.
EVIDENCE
Low-intensity shockwave therapy has been shown to improve erectile function scores versus control in pooled analysis of randomized trials in men after radical prostatectomy, with the strongest signal measured at three to four months after treatment.
In a randomized controlled trial, men who received early pelvic floor biofeedback physiotherapy after prostate surgery were more than four times as likely to recover potency at 12 months compared to those who did not receive structured rehabilitation.
Pelvic floor physiotherapy in men with persistent erectile dysfunction 12 or more months after nerve-sparing prostatectomy produced significantly better erectile function scores at 15 months, showing that later starters can still benefit meaningfully.
Electromagnetic therapies applied to the pelvic region have shown improvements in erectile function scores and erection hardness in clinical studies, supporting their role as an adjunct in sexual rehabilitation programs.
Post-prostatectomy fibrosis and smooth muscle loss are well-documented in clinical literature as downstream consequences of nerve disruption and cavernosal hypoxia — making early tissue-directed rehabilitation a biologically supported strategy.
Outcomes are group averages from clinical trials; individual results vary.
Here are answers to some of the most common questions about Penile Rehabilitation Post-Prostate Surgery.
6 results found
Multiple randomized controlled trials show that low-intensity shockwave therapy improves erectile function scores in men after radical prostatectomy. The evidence is emerging and effect sizes vary between studies, but improvements in erection quality have been recorded as early as 8 to 12 weeks after starting treatment. We use focused shockwave, which reaches deeper tissue than radial pressure devices. We review your specific case during the assessment to determine whether you're a good candidate.
Yes. A randomized controlled trial found that men who started pelvic floor biofeedback training early after surgery recovered functional erections at 12 months at a rate of 47.1%, compared to 12.5% in the control group. Continence and erection recovery are closely linked — improving one tends to support the other. We map out a pelvic floor program specific to your baseline during the first visit.
The primary driver is neurovascular bundle trauma during surgery, which disrupts the nerve signals that trigger erections. This leads to reduced erection frequency and, over time, reduced oxygen supply to penile tissue — which causes fibrosis and smooth muscle changes that make recovery harder. Pelvic floor disruption, reduced continence, and post-surgical tissue changes are additional contributors. We assess all of these in your first visit and tell you which factors are most active in your case.
Clinical evidence and our clinical experience suggest that starting structured rehabilitation 4 to 6 weeks after surgery gives the best opportunity to protect tissue health during the nerve recovery window. That said, men who are 12 or more months post-surgery can still respond meaningfully. Earlier is better, but it is rarely too late. We outline your options clearly at the assessment.
Recovery after prostate surgery is rarely a straight line. Nerve recovery is slow and uneven, and erection quality can fluctuate throughout the process. In our clinical experience, relapse is commonly linked to not completing the full treatment protocol — particularly the pelvic floor strengthening phase. Completing the full program and attending re-assessment milestones is important for maintaining gains. We build this structure into your plan from the start.
Yes. Research shows that pelvic floor physiotherapy in men with persistent erectile dysfunction 12 or more months after nerve-sparing prostatectomy produced significantly better erectile function scores compared to a control group — with effects maintained over time. The tissue remodeling process that makes recovery harder can be partially addressed with the right approach. We assess your current status and give you an honest picture of what's possible. We review this fully at your initial visit.
YOUR NEXT STEP
Stop guessing, stop waiting on a timeline nobody gave you, and get a plan that addresses the system — not just one piece of it.
Initial Penile Rehabilitation Post-Prostate Surgery Assessment — Edmonton
60-minute one-on-one session. Here’s what’s included:
Full assessment of erection recovery status, pelvic floor function, and continence
Identify which recovery drivers — nerve, tissue, or pelvic floor — are most active in your case
Review of surgical history and any imaging or urology reports you have
Clear written plan with transparent pricing before you commit to anything
No referral needed. No obligation to continue beyond the first visit.
No pressure, no contracts.
We will tell you honestly at the assessment if we don't believe you're a good candidate for this approach. If your condition needs something different, we'll refer you directly.
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