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Radical prostatectomy and sexual dysfunction


Radical prostatectomy, which involves removing the entire prostate and some of the surrounding tissue, and erectile dysfunction as a complication is a common occurrence.

Erectile dysfunction following radical prostatectomy...

The entire prostate is removed because on average, a man will have five or more tumors in his prostate, and their exact locations cannot be identified accurately before surgery. Rather than risk leaving any cancerous tissue behind, surgeons remove the entire gland. Men considering this procedure should ask their doctor about radical prostatectomy and erectile dysfunction so they know what to expect. A radical prostatectomy can be performed using any one of four different techniques: You need to discuss the risks and Radical prostatectomy and sexual dysfunction of each type of surgery with your oncologist and surgeon so you can decide which procedure is best for you.

Of all the possible side effects, the combination of prostate cancer surgery and erectile dysfunction is one of the most common and distressing. Despite advances in nerve-sparing techniques used during prostatectomy, erectile dysfunction is still a major consequence of this surgical procedure. Most men suffer erectile dysfunction to some degree after prostate surgery because of the trauma to the soft erectile tissue and the nerves, increased muscle atrophy of the cavernosal smooth muscle, and fibrosis excessive tissue formation.

After prostatectomy the penile muscles go to sleep and atrophy.


This leads to a lack of nighttime erections, which are necessary to maintain erectile tissue. For some men erectile dysfunction is temporary, but for others it can be permanent. The Radical prostatectomy and sexual dysfunction of erectile dysfunction depends on the type of surgery, the stage of cancer, and skill of the surgeon. In addition to the penile muscles, the erection nerves also are at risk during a prostatectomy.

Even if a surgeon is highly skilled at nerve-sparing prostatectomy, erection nerves go to sleep when they are handled, and they can remain dormant for one to two years.

The good news is that dormant nerves can revive, and so erectile dysfunction can resolve over time. The answer to this question is, it depends on the man. According to a study published in the Journal of the American Medical Associationfor example, 18 months after their radical prostatectomy, nearly 60 percent of men reported an inability to get an erection.

That percentage dropped to For men who undergo a nerve-sparing technique, recovery from erectile dysfunction may occur within 12 months of surgery.

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