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Prostate Cancer Treatment Side Effects

Whenever possible, our team provides prostate cancer treatment that limits or avoids side effects. But like all cancer treatments, these problems may occur.

Fortunately, most issues improve on their own over time. For those that don’t, our team of expert urologists offers a range of services to manage problems and enhance your ability to enjoy life. 

Common Prostate Cancer Treatment Side Effects

The prostate is located close to the bladder, the erectile nerves and the sphincter muscle that controls urination. Certain prostate cancer treatments can disrupt how these structures function.

Our experts have advanced training in handling treatment-related problems such as:


Prostatectomy (surgical removal of the prostate) and radiation therapy can cause urinary incontinence, or leaking of urine. This problem usually resolves on its own within a year after treatment. If the condition doesn’t improve, or you want more immediate relief, we partner with experts at Maimonides Pelvic Floor Center to offer incontinence treatments.

Erectile dysfunction

Prostate surgery, radiation therapy and systemic therapies such as chemotherapy can affect a man’s ability to get or maintain an erection. Erectile dysfunction or impotency caused by these therapies may resolve on its own within a year after treatment stops.

If you want to address the problem sooner, or the situation doesn’t improve over time, we offer treatment:

  • Oral medications:  Prescription medications can increase blood flow to the penis.
  • Vacuum devices: This tool uses suction to pull blood into the penis.
  • Penile medications: You inject medication into the penis (intracavernosal injections, or IVI) or insert a medicated pellet into the urethra (intraurethral therapy, or IU).
  • Penile implants: Your doctor surgically places an implant inside the penis. We offer inflatable and semi-rigid (bendable) implants.


Prostate cancer treatments can affect a man’s ability to produce viable (fertile) sperm or ejaculate sperm with semen. If you want to preserve your ability to have a child in the future, we can assist with: 

  • Sperm banking: This procedure takes place before you start cancer treatment. Sperm is frozen in liquid nitrogen for later use with intrauterine insemination (IUI). Insemination puts banked sperm directly into a woman’s uterus, increasing the chance of pregnancy. We partner with Genesis Fertility and Reproductive Medicine in Brooklyn for sperm banking.
  • Sperm extraction, or harvesting: During this procedure, a doctor extracts sperm directly from the testicles. The sperm is implanted into a woman’s uterus within 24 hours of extraction. Sperm extraction can take place after cancer treatments.

Contact Us

To make an appointment at the Maimonides Prostate Center, call 718-635-PROS (7767) or request an appointment online.