Erectile Dysfunction After Prostatectomy: A Comprehensive Guide

If you're experiencing erectile dysfunction (ED) after prostatectomy, you're not alone. Many men face this challenge, but effective treatments like sildenafil (Viagra) and tadalafil (Cialis) are available to help restore function. Hi-Doctor connects you with EU-licensed doctors who can assess your case online and, if appropriate, issue a prescription. Your €25 online consultation leads to an electronic prescription in under 24 hours, valid at any pharmacy across the EU.

How it works — get your ED medication prescription in 4 steps

1. Fill out a brief online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
2. A licensed EU doctor privately reviews your case. If the doctor determines the treatment is not appropriate, your €25 is **refunded automatically** — no risk. You pay nothing.
3. If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Print the PDF or show it on your phone — present it at **any pharmacy in the EU** to collect your medication.

Who qualifies for ED medication after prostatectomy

Our EU-licensed doctors review your specific medical history to determine if sildenafil, tadalafil, or other PDE5 inhibitors are appropriate for you. They look for:

• A confirmed diagnosis of erectile dysfunction following radical prostatectomy.
• No contraindications such as severe cardiovascular disease, recent stroke or heart attack, or concurrent use of nitrate medications (often used for chest pain).
• Overall good health that allows for the safe use of these medications.
• Your pre-operative sexual function and the extent of any nerve-sparing techniques used during surgery.

The doctor will assess your individual situation to ensure the treatment is safe and effective for your recovery.

What ED medication actually does (and doesn't do)

Medications like sildenafil and tadalafil are phosphodiesterase-5 (PDE5) inhibitors. They work by relaxing the blood vessels in your penis, increasing blood flow when you are sexually stimulated. This helps you achieve and maintain an erection sufficient for sexual activity. They do not cause an instant erection without stimulation, nor do they increase libido. They are aids to natural sexual function, helping overcome the physical challenges posed by nerve damage or reduced blood flow after prostatectomy.

• Sildenafil (Viagra): Typically works within 30-60 minutes and is effective for about 4-6 hours.
• Tadalafil (Cialis): Known for its longer duration, lasting up to 36 hours. It can be taken as needed or in a daily low dose.

Recovery timelines vary, but consistent use as part of a rehabilitation protocol can significantly improve outcomes over several months to a couple of years.

Side effects and when to stop

Common side effects of PDE5 inhibitors include headache, flushing, nasal congestion, indigestion, and visual disturbances (especially with sildenafil). These are usually mild and temporary. Serious side effects are rare but can include a sudden decrease or loss of vision or hearing, or an erection lasting longer than four hours (priapism). If you experience any severe or persistent side effects, or a prolonged erection, stop taking the medication and seek immediate medical attention. Your Hi-Doctor will provide detailed information on potential side effects and interactions.

Why Hi-Doctor vs. walking into a clinic

Hi-Doctor offers a modern, patient-centric approach to getting your erectile dysfunction medication prescription:

• Speed: Get your prescription in under 24 hours, compared to weeks for an in-person appointment.
• Price: A flat €25 online consultation fee, with a money-back guarantee, versus variable and often higher private clinic fees.
• Privacy: All consultations happen in a secure, RGPD-compliant chat within your account. No reception desks, no waiting rooms.
• Convenience: Access expert medical care from your phone or computer, anywhere in the EU, without travel.
• Trust: Join over 50,000 patients who trust Hi-Doctor, reflected in our 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

Frequently asked questions

What happens if the doctor decides I'm not a candidate for the medication?

If the doctor determines that the treatment is not appropriate for you, your €25 consultation fee is refunded automatically. You pay nothing for the consultation if treatment isn't approved.

Is the REMPE prescription valid outside Spain?

Yes, absolutely. REMPE is Spain's official private electronic prescription standard. Under EU Directive 2011/24/EU, any EU pharmacy (e.g., in France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland) must recognise and dispense from it. You receive a downloadable PDF you can print and present.

How do I actually collect the medication once I have the prescription?

Simply print the PDF prescription or show it on your phone at any EU pharmacy. The pharmacist will scan the QR code or verify the digital signature and dispense your medication.

Is it legal to get ED medication online in my country via Hi-Doctor?

Yes, it is legal. You receive a prescription from an EU-licensed doctor under the Spanish system (REMPE), which is valid across all EU member states according to cross-border prescription directive 2011/24/EU.

How long does the prescription take?

After your medical questionnaire is submitted, an EU-licensed doctor reviews your case. If approved, your REMPE electronic prescription is issued and sent to your Hi-Doctor account and email within 24 hours.

Is my data private?

Yes, your privacy is paramount. Hi-Doctor is fully RGPD-compliant. All your medical information and chat communications are securely handled within your private account.

How much does it cost?

The online consultation fee is a flat €25. This fee covers the doctor's review of your case and the prescription if approved. If the doctor determines the treatment is not appropriate, you get your money back.