• For active partners: As the active partner, maintaining strong erections is crucial, making erectile problems more of a concern. HIFU prostate cancer treatment has the lowest rates of erectile dysfunction among all curative treatments, making it a good option for those worried about maintaining a good erectile function.

• For receptive partners: Bowel issues or anal sensitivity can arise after radiotherapy, and if you’ve had permanent seed brachytherapy, there’s a small risk of radiation exposure to your partner in the first few months. Unlike radiotherapy or brachytherapy, HIFU has minimal rectal side effects and no radiation exposure risks. This allows for continued anal intimacy without complications.

• For prostate stimulation: Known as the "male G-spot," the prostate can enhance pleasure during receptive anal sex or prostate massages. Removing the prostate through radical prostatectomy surgery can diminish or completely eliminate the ability to feel pleasure from this stimulation. With HIFU, the prostate is preserved, so men can continue to enjoy these sensations.

For Gay, Bisexual, and Heterosexual Men Who Enjoy Anal Sex

Prostate cancer affects gay and bisexual men in many of the same ways it does heterosexual men, but there can be additional considerations. For men who engage in anal sex, the impact of erectile issues varies based on whether you are the active (‘top’) or receptive (‘bottom’) partner, or both.

By preserving erectile function, avoiding rectal complications, and sparing the prostate, HIFU supports intimacy and pleasure across all relationships.