A Pilot Study of the Feasibility of Chronic Cavernous Nerve Stimulation to Promote Regeneration and Erectile Function

Inclusion Criteria:

1. Scheduled for a robotic radical prostatectomy procedure with bilateral nerve sparing.
2. Sexually functional preoperatively as defined by a Sexual Health Inventory For Men (SHIM) score of greater than 21 at baseline off any phosphodiesterase 5 inhibitors.
3. Without erectile dysfunction treatment in the 12 months prior to radical prostatectomy.
4. Willing to stop phosphodiesterase 5 inhibitor that has only been started prophylactically to promote penile rehabilitation after prostatectomy.
5. Age 40 to 80 years of age.
6. Stable on all medications for at least 6 weeks prior to completing baseline measures and be willing to remain on those medications with no dose adjustments expected for 6 weeks post-implantation.
7. An appropriate candidate for the surgical procedure required for this study.
8. Willing and able to comply with all study related procedures and visits, and making accurate daily entries into a diary for approximately 6 weeks post radical prostatectomy (lead stimulation phase).
9. Capable of reading and understanding patient information materials and giving written informed consent.

Exclusion Criteria:

1. Have been diagnosed with vascular insufficiency to any pelvic blood vessels.
2. Have prior surgical implantation of penile prosthesis, or other prior major pelvic surgery.
3. History of significant pelvic trauma.
4. Are current substance abusers including illicit drugs or use narcotics more than 15 days/month.
5. Have a significant psychiatric disorder or under current treatment with antipsychotic or antidepressive medications.
6. Have previously not tolerated an implanted medical device and subsequently required explant of the device for any reason other than device malfunction.
7. Have a condition currently requiring or likely to require the use of MRI or diathermy.
8. Currently have an active implantable device.
9. Have participated in any drug or device trial in the last 4 weeks or plan to participate in any other drug or device study during the next 24 months.
10. Have metabolic or immunodeficiency disorders related to recurrent infections, specifically including but not limited to diabetes mellitus, HIV, disorders requiring chronic or high dose corticosteroids, or connective tissue disorders.
11. Have Peyronies disease.
12. Subject possesses any other characteristics that, per the investigator's judgment, deems them unsuitable (eg increases risk, impairs data collection, etc) for the procedure/study.