You’ve gone through a prostate procedure—maybe to treat cancer, manage an enlarged prostate, or address another urologic condition. While the primary goal was your long-term health, you may now be facing unexpected side effects like reduced penile sensitivity, difficulty with erections, or a loss of sexual confidence. These symptoms aren’t uncommon and can affect your quality of life and relationships.

At Genesis Lifestyle Medicine, we understand the physical and emotional impact these changes can have. That’s why we offer science-backed, regenerative therapies like the P-Long Protocol, which may support recovery and help restore sensitivity and function naturally. In this article, we’ll explore why prostate procedures can cause sensitivity loss and how P-Long may play a key role in your journey toward rehabilitation.

How do prostate procedures affect sensitivity?

Prostate procedures—particularly radical prostatectomy, TURP, and laser ablation—often save lives or improve urinary symptoms. But they can also disrupt the intricate network of nerves, blood vessels, and soft tissues involved in sexual function and sensation. They can interfere with your ability to feel sensation or achieve sexual pleasure in numerous ways.

Nerve disruption and neuropraxia

During prostate surgery, even when nerve-sparing techniques are used, the neurovascular bundles adjacent to the prostate may be stretched, compressed, or partially damaged. This condition, known as neuropraxia, can block the brain’s signals to the penis. It may take months or years for nerves to regenerate, and in some cases, sensitivity never fully returns.

Reduced blood flow to the penile tissue

Prostate procedures often affect penile blood circulation, either through direct vascular damage or as a downstream effect of nerve impairment. Reduced blood flow can lead to atrophy of erectile tissue, compromising both the quality of erections and the delivery of oxygen and nutrients essential for sensory function, which can lead to erectile dysfunction.

Loss of nocturnal erections and penile disuse

Following surgery, many men stop experiencing spontaneous or nocturnal erections. This lack of stimulation can result in disuse atrophy, where penile tissue and nerve endings begin to deteriorate. As a result, the penis may become less sensitive to touch or arousal.

Psychological factors and reduced sensory perception

Anxiety, stress, and changes in body image after prostate treatment can further reduce sexual response. When the brain perceives a lack of function, it may gradually dampen the sensory feedback loop, creating a feedback cycle that reduces arousal and sensitivity.

How can P-Long help with penile rehabilitation?

P-Long is a clinically studied male enhancement and penile rehabilitation protocol developed by board-certified urologist Dr. Judson Brandeis. It is the only protocol shown to increase length, girth, and function naturally, using regenerative techniques. For men who have undergone prostate procedures, P-Long may support nerve recovery, tissue regeneration, and improved sensitivity, without the need for medications, implants, or surgery. Here’s how:

Stimulating nerve regeneration with PRP

P-Long includes the Priapus Shot® (P-Shot), which uses platelet-rich plasma (PRP) from your own blood. PRP contains concentrated growth factors that help repair damaged nerve endings, reduce inflammation, and stimulate new nerve growth. For men with neuropraxia or post-surgical nerve trauma, PRP may accelerate the return of sensitivity and function.

Enhancing blood flow with low-intensity shockwave therapy

Another core component of P-Long is low-intensity extracorporeal shockwave therapy (LI-ESWT). This treatment improves microcirculation and blood vessel regeneration in the penis. Increased blood flow can enhance oxygen delivery, reduce fibrosis, and help reawaken dormant nerve endings, leading to improved sensation and erectile quality.

Preventing tissue atrophy with mechanical devices

P-Long also incorporates a penile traction device (PTD) and vacuum erection device (VED) to stretch the penis and promote healthy tissue remodeling. These devices increase oxygenation, reduce the risk of scar tissue, and help maintain penile length and elasticity. The result is a better platform for nerve and vascular recovery, which is critical for restoring sensitivity.

Encouraging natural function over dependency

Unlike medications that create short-term erections without addressing the root cause, P-Long aims to restore your body’s natural erectile mechanisms by promoting long-term nerve healing. This holistic, non-invasive approach supports sustainable sexual function while also enhancing your psychological connection to arousal, sensation, and confidence.

Additional tips for penile rehabilitation:

• Start rehabilitation as early as your doctor permits
• Use a vacuum erection device regularly to maintain blood flow
• Perform pelvic floor exercises (Kegels) to strengthen the support muscles
• Avoid prolonged periods without stimulation or erections
• Follow a heart-healthy diet to support vascular recovery
• Manage stress, anxiety, and performance pressure
• Discuss combination therapy (e.g., PDE5 inhibitors + VED) with your provider
• Stay consistent with your rehab routine for long-term improvement
• Avoid smoking or excessive alcohol, which can impair recovery
• Consider regenerative treatments like P-Long for comprehensive support

Loss of sensitivity after prostate procedures can feel discouraging, but it doesn’t have to be permanent. With proactive penile rehabilitation and advanced regenerative therapies, it’s possible to restore function, sensation, and confidence.

The P-Long Protocol at Genesis Lifestyle Medicine offers a powerful, drug-free option to support your recovery naturally, without surgery or implants. If you’re navigating the effects of a prostate procedure, Genesis Lifestyle Medicine is here to help. Schedule your consultation today to explore whether P-Long is the right solution for your sexual health and wellness.