Penile Rehabilitation

  • John P. Mulhall
  • Peter J. Stahl
  • Doron S. Stember


The concept of penile rehabilitation revolves around protection of erectile tissue (i.e., cavernosal smooth muscle and endothelium) during the phase when the cavernous nerves are non-functioning or functioning poorly, such as often occurs as a result of radical prostatectomy (RP). Cavernous nerve damage, and subsequent impairment of erectile tissue, results in natural erections that are of poor quality or non-existent. The aim of rehabilitation is to preserve erectile tissue such that, if and when the nerves regenerate, the patient has the best chance of returning close to his baseline erectile function. The purpose of penile rehabilitation is not only to allow a man have sexual intercourse during the rehabilitation period but also, more specifically, to maximize his long-term erectile function recovery. This concept is called “back-to-baseline recovery.”


Radical Prostatectomy Erectile Function Rehabilitation Strategy Cavernous Nerve Penile Length 
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Suggested Reading

  1. Mulhall JP, Bella AJ, Briganti A, McCullough A, Brock G. Erectile function rehabilitation in the radical prostatectomy patient. J Sex Med. 2010;7(4):1687–98.PubMedCrossRefGoogle Scholar
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  10. Mulhall JP, Morgentaler A. Penile rehabilitation should become the norm for radical prostatectomy patients. J Sex Med. 2007;4:538–43.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • John P. Mulhall
    • 1
  • Peter J. Stahl
    • 2
  • Doron S. Stember
    • 3
  1. 1.Sexual and Reprodictive Medicine Program Department of Surgery Division of Urology, Department of SurgeryMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of UrologyColumbia University College of Physicians & SurgeonsNew YorkUSA
  3. 3.Department of UrologyBeth Israel Medical Center Albert Einstein College of Medicine of Yeshiva UniversityNew YorkUSA

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