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Retrograde ejaculation due to injury of the prostatic urethra. This is one of the most frequent complications of the procedure, occurring in about 65% of patients. [14] Bladder neck stenosis. Erectile dysfunction may be seen in some patients, however, many have reported that erectile function improved after TURP.
Injury to the prostatic plexus (during prostatic resection for example) is highly likely to cause erectile dysfunction. It is because of this relationship that surgeons are careful to maintain the integrity of the prostatic fascial shell so as to not interrupt the post-ganglionic parasympathetic fibers that produce penile erection.
Prostatectomy (from the Greek προστάτης prostátēs, "prostate" and ἐκτομή ektomē, "excision") is the surgical removal of all or part of the prostate gland. This operation is done for benign conditions that cause urinary retention, as well as for prostate cancer and for other cancers of the pelvis .
Erectile dysfunction can cause a “self-perpetuating cycle of anxiety and performance pressure,” says one expert. (Photo illustration: Victoria Ellis for Yahoo News; photo: Getty Images) (Photo ...
Diseases are also common causes of erectile dysfunction. Diseases such as cardiovascular disease, multiple sclerosis, kidney failure, vascular disease, and spinal cord injury can cause erectile dysfunction. [10] Cardiovascular disease can decrease blood flow to penile tissues, making it difficult to develop or maintain an erection.
Certain medications, including those for hypertension and depression, can cause sexual dysfunction as a side effect. Beta-blockers, for example, can decrease libido and lead to erectile issues.
A number of medications can be used which need to be tailored to each person's needs and types of symptoms (according to UPOINTS, S = sexual: e.g. erectile dysfunction, ejaculatory dysfunction, postorgasmic pain). [56] Treatment with antibiotics is controversial. A review from 2019 indicated that antibiotics may reduce symptoms.
Penile revascularization is a specialized vascular-surgical treatment option for erectile dysfunction. The 2009 International Consultation on Sexual Dysfunctions recommended that revascularization be limited to nonsmoker, nondiabetic men younger than 55 years of age with isolated stenosis of the internal pudendal artery with absence of venous leak. [1]
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