226: Erectile Dysfunction After Prostate Cancer: Steve’s Story of Loss, Love and Getting Back in the Game

Episode Overview:

Steve Fisher is 77 years old, lives in Nebraska, and has been through more than most men can imagine. In 2020, he and his wife were both diagnosed with cancer at the same time. Her lung cancer surgery was followed by a catastrophic complication, and Steve lost her in late 2020, while still carrying his own prostate cancer diagnosis.

In the first half of 2021, Steve went ahead with treatment: low-dose brachytherapy (permanent seed implants) followed by 20 sessions of external beam radiation, plus a short course of Lupron (a prescription hormonal therapy). His PSA is now sitting at 0.04. Cancer-wise, things are excellent.

But nobody told Steve what was coming next. No one talked to him about erectile dysfunction, penile rehabilitation, vacuum pumps, constriction rings, or the emotional weight of losing sexual function on top of losing a partner. He navigated that on his own, with little support from his healthcare team.

Then in May 2026, Steve stumbled across Victoria Cullen's website A Touchy Subject on YouTube, joined The Hub, and things started to shift. He ordered daily Cialis and a Soma OT medical-grade vacuum pump — the right equipment, with the right information about how constriction rings work in combination with a pump. Within two months, Steve and Carol were having penetrative sex again for the first time in years.

This episode is also about the emotional and psychological side of this journey — the anxiety men carry silently, the male ego dimension of losing erectile function, and the importance of community, peer support, and simply having someone to talk to who understands.

This is a warm, funny, honest, and genuinely hopeful conversation about grief, finding love again, getting information too late, and what happens when a man finally gets the right tools and the right support.

Golden Tip: How to use the pumps with a constriction ring successfully, including Steve’s tip about lubricant on the outside of the cylinder.

In This Episode, We Cover

Options when PDE5i (Viagra etc) don’t work

The difference between medical-grade vacuum pumps and sex toys

Why injections (Trimix) failed for Steve and what was missing from the picture