Erectile dysfunction is one of the most common and frustrating side effects of prostate cancer treatments. Whether you've undergone a radical prostatectomy, radiation therapy, or hormone suppression, it can affect sexual function physically and emotionally. You may be exploring all available solutions to help restore sexual performance, confidence, and quality of life.

One promising, non-surgical option is P-Long, a regenerative protocol that combines PRP injections, traction therapy, vacuum therapy, and nitric oxide supplementation to improve sexual function. At Genesis Lifestyle Medicine, we ensure you know what to expect as well as additional tools to support procedure recovery. In this article, we explore how P-Long can help restore function after prostate cancer treatment and what other tools can support your recovery. 

The effects of prostate cancer treatments

Treating prostate cancer often involves removing or damaging tissues and nerves that are essential for normal erectile function. The primary goal of treatment is to eliminate cancer before it spreads, which often requires aggressive approaches that target the prostate and surrounding structures. While these treatments can be lifesaving, they frequently come at the cost of sexual function due to their impact on the pelvic nerves, blood vessels, and hormone levels.

Nerve damage from surgery

Radical prostatectomy involves the complete removal of the prostate gland, often disrupting the neurovascular bundles responsible for erection. Even with nerve-sparing techniques, trauma to the delicate nerve fibers can cause neuropraxia, which blocks signal transmission from the brain to the penis. Recovery of nerve function can take months or years, if it occurs at all.

Reduced blood flow and vascular health

Both radiation therapy and surgery can impair the vascular system by damaging the arteries and capillaries that supply the penile tissue. Poor blood flow leads to weaker, less frequent erections and can contribute to long-term fibrosis (scar tissue) within the erectile chambers.

Muscle atrophy and penile shrinkage

Lack of nocturnal erections and diminished blood flow can cause the smooth muscle inside the penis to deteriorate. Over time, this leads to shortening of the penis and reduced tissue elasticity, making it even more difficult to achieve or maintain an erection.

Psychological and hormonal effects

Prostate cancer treatment can also cause hormonal changes (particularly when androgen deprivation therapy is involved) and emotional distress. Depression, anxiety, and low testosterone all contribute to sexual dysfunction and make recovery more challenging.

How P-Long supports function after prostate cancer treatment

P-Long is a clinically developed protocol designed to improve penile length, girth, and erectile quality using the body’s natural regenerative abilities. Unlike medications that offer temporary relief, P-Long aims to reverse structural and functional decline over time.

Platelet-rich plasma to restore nerve and tissue health

The cornerstone of P-Long is the P-Shot, which uses your own platelet-rich plasma (PRP) to stimulate tissue repair. PRP contains growth factors that activate healing in damaged nerves, smooth muscle, and blood vessels. For men recovering from prostate surgery, this means a direct regenerative approach to counteract trauma and reestablish erectile response.

Traction therapy to preserve and lengthen tissue

Daily use of a penile traction device is another key part of the P-Long protocol. Gentle, controlled stretching helps maintain tissue elasticity, prevent shrinkage, and stimulate the formation of new collagen. For patients who have experienced shortening or curvature after treatment, traction therapy plays a vital role in preserving normal penile length.

Vacuum therapy to improve circulation

The vacuum erection device included in the protocol increases blood flow by drawing oxygen-rich blood into the penis. Regular use helps prevent fibrosis and supports the health of the erectile tissue, even when spontaneous erections are infrequent. For post-prostatectomy patients, this is critical to maintaining function while the nerves heal.

Nitric oxide supplements to enhance blood vessel recovery

P-Long also includes oral supplementation that supports nitric oxide production for vascular dilation. These supplements enhance endothelial function and make it easier for the body to generate firm erections once physical and neural pathways are reestablished. Together, these components create a multi-angle, non-invasive strategy to restore natural function.

Additional ways to support function after prostate cancer treatment

• Use PDE5 inhibitors such as sildenafil or tadalafil under supervision
• Explore intracavernosal injections like TriMix for immediate erectile support
• Consider shockwave therapy (GAINSWave) to stimulate blood vessel growth
• Start testosterone replacement therapy (TRT) if hormone levels are low
• Practice pelvic floor exercises (Kegels) to strengthen the support muscles
• Engage in couples counseling or sex therapy to reduce performance anxiety
• Eat a heart-healthy diet rich in antioxidants and anti-inflammatory nutrients
• Avoid smoking and excessive alcohol, both of which damage circulation
• Manage blood sugar and blood pressure for better vascular performance

At Genesis Lifestyle Medicine, we understand how devastating sexual dysfunction after prostate cancer treatment can be. But you are not alone, and recovery is possible. P-Long offers a safe, regenerative pathway to restore erectile health by rebuilding the penile tissues and neurological integrity lost during treatment. Please schedule your consultation at Genesis today.