Anne Truong MDMen's Sexual Health Doctor

Why Viagra Fails After Prostate Surgery 💊❌ #TURP #ErectileDysfunction

6 Jun 2026 · 1 min

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In this brief educational monologue, Dr. Anne Truong explains that oral erectile dysfunction (ED) medications like Viagra often lose effectiveness in men who have undergone transurethral resection of the prostate (TURP) for a markedly enlarged prostate (212 g versus the normal ~30 g). She frames pills as a temporary band‑aid that does not address the underlying cause—prostatic inflammation. Dr. Truong outlines that inflammation drives prostate enlargement and suggests possible contributors: dietary factors, high cholesterol, and abnormal testosterone levels (both low and excessive). The video emphasizes that without tackling inflammation, ED treatments are likely to fail.

Chapters

I have a large prostate with a volume of 212 grams. Now, normal prostate volume is 30 grams. I've had a TURP, which helped. TURP is called transurethral resection of the prostate, which helped. Now, Viagra is not helping much lately. All right, so I just actually did a video on how pills does not help your ED. In fact, it's just a band-aid, and oftentimes pill does not help, especially men that had enlarged prostate with TURP, because there's a reason why you have enlarged prostate. Some of it is genetic, but prostate gets inflamed. It gets enlarged because it's inflamed. And what's causing it for inflammation? Could it be that from your diet? Could it be from high cholesterol? Could it be from low or too much testosterone? Either low testosterone or too much testosterone can irritate the prostate as well too.