Why Erectile Dysfunction Happens After Prostate Cancer with Dr.John Mulhall

The biggest mistake after prostate cancer treatment may be waiting for erections to “come back” on their own. Dr. John Mulhall of Memorial Sloan Kettering has spent three decades in sexual medicine, sees roughly 600 prostatectomy patients a year, and served as a senior author on sexual-medicine guidelines. His central message: recovery is a race to protect erectile tissue while nerves heal. After prostatectomy, erection nerves can remain functionally “asleep” for months. During that window, reduced blood flow, oxygenation and stretch can allow penile smooth muscle to deteriorate and be replaced by collagen-rich scar tissue. Radiation follows a different pattern: function may look preserved at first, then decline over two to three years as vascular injury develops. In this episode, you’ll learn... Why penile rehabilitation is about preserving tissue, not simply taking a daily pill. How surgery, radiation, and ADT disrupt erections through different biological pathways. Why sleep apnea, diabetes, and very low testosterone can reduce recovery. How reducing performance pressure can rebuild sexual confidence. 📚 Chapters 00:00 Sex Recovery Starts Early 05:28 Why Erections Fail 07:36 Radiation And ADT Effects 11:07 Collagenization Explained 12:39 Modern Penile Rehab Plan 16:14 Choosing A Prostate Surgeon 19:49 Orgasms After Prostatectomy 21:38 Erection Recovery Timeline 24:19 Confidence And Intimacy 34:34 Injection Safety Standards 40:48 Testosterone Before Treatment 45:24 ADT Risks and PSA Monitoring 56:32 When to Consider Implants 59:37 Choosing the Right PDE5 Pill 01:01:23 Trials and Where to Find John This is the conversation men need before treatment—not months after sexual function has already changed. Dr. Mulhall X handle@saveyoursexlife Website: Dr. John Mulhall - MSKCC 📕 Get Dr. Geo’s Free Ebook- A Guide to Improve Prostate Problems Naturally https://bit.ly/DRGEOFreeEbook 📌 Thank You To Our Sponsors Sponsored by PathRight Medical. This episode's guest, Dr. Landon Trost, is the majority owner of PathRight Medical, manufacturer of RestoreX® and RestoreXL®. Dr. Geo Media retains editorial control over the interview and its independent clinical content. Find the Right Device for You linked to https://bit.ly/3VnIsU0 . ___________________________________ 💪 Exclusive Membership Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Dr. Geo’s Social Media and Websites 📺 YouTube → Dr. Geo Prostate Podcast — https://www.youtube.com/@DrGeoProstatePodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.captivate.fm 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 📣 Hashtags #DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology ___________________________________ ⚠️ Disclaimer This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.